UNION SQUARE LASER DERMATOLOGY
NPI 1487936308
Dermatology - Procedural Dermatology in New York, NY
About Union Square Laser Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNION SQUARE LASER DERMATOLOGY (NPI 1487936308) is a healthcare organization registered as a procedural dermatology in New York, New York and active in the NPI registry since September 2011. The organization holds 2 active CLIA laboratory certificates and lists David Scott, Director, 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)
Union Square Laser Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Union Square Laser Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Union City, CA 94587
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 2
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 Compliance 33D2288786
Union Square Laser Dermatology · Watermill, NYCertificate of Compliance 33D2033497
Union Square Laser 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 Union Square Laser Dermatology's NPI number?
The NPI number for Union Square Laser Dermatology is 1487936308. It was assigned to this organization in the NPPES registry on September 16, 2011.
Where is Union Square Laser Dermatology located?
Union Square Laser Dermatology is located at 19 Union Sq W Fl 5, New York, NY 10003. The listed phone number is (212) 366-5400.
What is Union Square Laser Dermatology's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Union Square Laser Dermatology enrolled in Medicare?
Yes. Union Square Laser Dermatology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Union Square Laser Dermatology?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Union Square Laser Dermatology. 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 (4) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Union Square Laser Dermatology hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Union Square Laser Dermatology was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Union Square Laser Dermatology · NPI 1487936308
Procedural Dermatology organization in New York, New York. Organization record, active in the CMS NPPES registry since September 16, 2011.
## Identity
- **NPI:** 1487936308 (Entity type: Organization)
- **Enumerated:** September 16, 2011
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Organization subpart:** No
- **Authorized official:** David Scott, DIRECTOR
## Practice location
- **Address:** 19 UNION SQ W FL 5, New York, NY 10003-3304
- **Phone:** (212) 366-5400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Micrographic Dermatologic Surgery (MDS) (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2013
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487936308) · Data from the CMS NPPES public registry.