URBAN DERMATOLOGY PLLC
NPI 1477650174
Dermatology in New York, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Urban Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Urban Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is Urban Dermatology PLLC enrolled in Medicare?
Yes. Urban Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Urban Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Urban Dermatology PLLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
# Urban Dermatology Pllc · NPI 1477650174
Dermatology organization in New York, New York. Organization record, active in the CMS NPPES registry since September 17, 2006.
## Identity
- **NPI:** 1477650174 (Entity type: Organization)
- **Enumerated:** September 17, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Goldberg, MANAGING PARTNER
## Practice location
- **Address:** 594 BROADWAY, SUITE 310, New York, NY 10012-3233
- **Phone:** (212) 219-8012 · **Fax:** (212) 966-5099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477650174) · Data from the CMS NPPES public registry.