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ADVANCED DERMATOLOGY ASSOCIATES
NPI 1477863876
Specialist in Bronx, NY

Active since October 19, 2010
291 E 149TH ST, BRONX, NY 10451(718) 742-1000(212) 765-3210 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dermatology Associates NPPES

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

ADVANCED DERMATOLOGY ASSOCIATES (NPI 1477863876) is a healthcare organization registered as a specialist in Bronx, New York and active in the NPI registry since October 2010. The organization lists Lawrence D Jaeger, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1477863876
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED DERMATOLOGY OF THE BRONX PC
Location Address291 E 149TH STBronx, NY 10451-5601
Mailing Address200 Central Park S, Suite 107New York, NY 10019-1436 · (212) 262-2500 · Fax (212) 765-3210
Phone(718) 742-1000
Fax(212) 765-3210
Organization SubpartNo
Authorized OfficialLawrence D JaegerMedical Director · (212) 262-2500
Enumeration DateOctober 19, 2010
✔ NPI 1477863876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
291 E 149TH ST, Bronx, NY 10451
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Other Names 1

Doing Business AsAdvanced Dermatology Associates

Other Identifiers 1

Medicare PINW37061NY

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

Other Providers at the Same Location NPPES

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

ADVANCED DERMATOLOGY OF NEW YORK PC
Dermatology
291 E 149TH ST
BRONX, NY 10451
Bronx County (718) 742-1000

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 Advanced Dermatology Of The Bronx PC's NPI number?

The NPI number for Advanced Dermatology Of The Bronx PC is 1477863876. It was assigned to this organization in the NPPES registry on October 19, 2010. The provider is doing business as Advanced Dermatology Associates.

Where is Advanced Dermatology Of The Bronx PC located?

Advanced Dermatology Of The Bronx PC is located at 291 E 149th St, Bronx, NY 10451. The listed phone number is (718) 742-1000.

What is Advanced Dermatology Of The Bronx PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Of The Bronx PC was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.