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URBAN DERMATOLOGY PLLC
NPI 1477650174
Dermatology in New York, NY

Active since September 17, 2006CLIA 33D1056381 · Waiver
594 BROADWAY, SUITE 310, NEW YORK, NY 10012(212) 219-8012(212) 966-5099 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Urban Dermatology Pllc NPPES

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

URBAN DERMATOLOGY PLLC (NPI 1477650174) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Elizabeth Goldberg, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1477650174
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameURBAN DERMATOLOGY PLLC
Location Address594 BROADWAY, SUITE 310New York, NY 10012-3233
Mailing Address594 Broadway, Suite 310New York, NY 10012-3233 · (212) 219-8012 · Fax (212) 966-5099
Phone(212) 219-8012
Fax(212) 966-5099
Organization SubpartNo
Authorized OfficialElizabeth GoldbergManaging Partner · (212) 219-8012
Enumeration DateSeptember 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1477650174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 218795
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.
594 BROADWAY, New York, NY 10012
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1056381

Urban Dermatology · New York, NY
Active · expires Jul 13, 2028
CLIA Number33D1056381
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorDr. Elizabeth Goldberg
Laboratory Phone(212) 219-8012
Laboratory LocationUrban Dermatology594 Broadway, Suite 505, New York, NY 10012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER K BLAKE DPT
Physical Therapist
594 BROADWAY
NEW YORK, NY 10012
New York County (212) 343-1500
DENNIS A PORTO MD PLLC
Dermatology
594 BROADWAY, SUITE 409
NEW YORK CITY, NY 10012
New York County (212) 274-0800
MS. MARCIA Z BLECKER NCPSYA, JD, MA
Psychoanalyst
594 BROADWAY, ALFRED ADLER INSTITUTE -- SUITE 1213
NEW YORK, NY 10012
New York County (516) 639-8490
MR. PAUL THOMAS LAYTON LP
Psychoanalyst
594 BROADWAY
NEW YORK, NY 10012
New York County (212) 227-1104
GEORGE SKLOVSKIY PT
Physical Therapist
594 BROADWAY, SUITE 1207
NEW YORK, NY 10012
New York County (212) 343-1500
BARBARA BERGER MS, PA, PC
Psychoanalyst
594 BROADWAY, SUITE 1213
NEW YORK, NY 10012
New York County (212) 260-1206
CROSBY STREET INTERNAL MEDICINE, LLC
Internal Medicine
594 BROADWAY, SUITE 310
NEW YORK, NY 10012
New York County (718) 920-9074
DR. TODD B LINDEN MD PC
Internal Medicine (Gastroenterology)
594 BROADWAY, SUITE 310
NEW YORK, NY 10012
New York County (212) 219-3210

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 Urban Dermatology PLLC's NPI number?

The NPI number for Urban Dermatology PLLC is 1477650174. It was assigned to this organization in the NPPES registry on September 17, 2006.

Where is Urban Dermatology PLLC located?

Urban Dermatology PLLC is located at 594 Broadway Suite 310, New York, NY 10012. The listed phone number is (212) 219-8012.

What is Urban Dermatology PLLC's specialty?

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

Does Urban Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1056381) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Urban Dermatology PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.