UPPER WEST SIDE DERMATOLOGY, P.C.
NPI 1427270727
Dermatology in New York, NY

Active since May 03, 2007
277 W END AVE APT 1B, NEW YORK, NY 10023(212) 769-0069 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Upper West Side Dermatology, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPPER WEST SIDE DERMATOLOGY, P.C. (NPI 1427270727) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since May 2007. The organization lists Lisa Travis, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1427270727
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameUPPER WEST SIDE DERMATOLOGY, P.C.
Location Address277 W END AVE APT 1BNew York, NY 10023-2605
Mailing Address277 W End Ave Apt 1bNew York, NY 10023-2605 · (212) 769-0069
Organization SubpartNo
Authorized OfficialLisa TravisSole Owner · (212) 769-0069
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 12, 2019
✔ NPI 1427270727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 238877
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
277 W END AVE APT 1B, New York, NY 10023

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upper West Side Dermatology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Upper West Side Dermatology, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Dermatology
NPI 1932561354
277 WEST END AVE SUITE 1B
New York, NY 10023
(212) 769-0069
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1588618490
277 W END AVE SUITE 1B
New York, NY 10023
(212) 769-0069
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1942596465
277 W END AVE APT 1B
New York, NY 10023
(617) 372-7265
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1568873628
115 E 57TH ST STE 400
New York, NY 10022
(908) 359-8980
✔ PECOS1.5 mi
Dermatology
NPI 1831538644
550 1ST AVE
New York, NY 10016
(212) 263-5800
✔ PECOS✔ Accepts Medicare2.7 mi
Dermatology
NPI 1912318304
20 YORK ST YALE NEW HAVEN HOSPITAL
New Haven, CT 06510
(203) 688-4242
✔ PECOS✔ Accepts Medicare66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upper West Side Dermatology, P.C.'s NPI number?

The NPI number for Upper West Side Dermatology, P.C. is 1427270727. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Upper West Side Dermatology, P.C. located?

Upper West Side Dermatology, P.C. is located at 277 W End Ave Apt 1B, New York, NY 10023. The listed phone number is (212) 769-0069.

What is Upper West Side Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Upper West Side Dermatology, P.C. enrolled in Medicare?

Yes. Upper West Side Dermatology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upper West Side Dermatology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Upper West Side Dermatology, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (5) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Upper West Side Dermatology, P.C. was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.