ADVANCED DERMATOLOGY OF NEW YORK, P.C.
NPI 1497017552
Specialist in Bronx, NY

Q: What is Advanced Dermatology Of New York, P.C.'s specialty?

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

Active since June 13, 2012

1455 WEST AVE, BRONX, NY 10462(212) 262-2500(212) 765-3210 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Advanced Dermatology Of New York, P.c. NPPES

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

ADVANCED DERMATOLOGY OF NEW YORK, P.C. (NPI 1497017552) is a healthcare organization registered as a specialist in Bronx, New York and active in the NPI registry since June 2012. The organization lists Lawrence D Jaeger, Officer, as its authorized official.

NPPES Registry Identity

NPI1497017552

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameADVANCED DERMATOLOGY OF NEW YORK, P.C.

Location Address1455 WEST AVEBronx, NY 10462-7304

Mailing Address200 Central Park S, Suite 107New York, NY 10019-1436 · (212) 262-2500 · Fax (212) 765-3210

Phone(212) 262-2500

Fax(212) 765-3210

Organization SubpartNo

Authorized OfficialLawrence D JaegerOfficer · (212) 262-2500

Enumeration DateJune 13, 2012

Last NPPES UpdateDecember 8, 2014

✔ NPI 1497017552 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.

1455 WEST AVE, Bronx, NY 10462

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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

Other Providers at the Same Location NPPES 3

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

MIKE DAVID

Physician Assistant

1455 WEST AVE
BRONX, NY 10462

Bronx County (718) 239-1500

KENNETH EDWARD BLOOM M.D.

Dermatology

1455 WEST AVE
BRONX, NY 10462

Bronx County (718) 239-1500

ANGELA AMERICA LIBRANTI PA

Physician Assistant

1455 WEST AVE
BRONX, NY 10462

Bronx County (718) 239-1500

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 New York, P.C.'s NPI number?

The NPI number for Advanced Dermatology Of New York, P.C. is 1497017552. It was assigned to this organization in the NPPES registry on June 13, 2012.

Where is Advanced Dermatology Of New York, P.C. located?

Advanced Dermatology Of New York, P.C. is located at 1455 West Ave, Bronx, NY 10462. The listed phone number is (212) 262-2500.

What is Advanced Dermatology Of New York, P.C.'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 New York, P.C. was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.