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PARK AVENUE DERMATOLOGY ASSOCIATES, PC
NPI 1497050231
Dermatology in New York, NY

Active since January 25, 2011CLIA 33D0129875 · Microscopy
580 PARK AVE, NEW YORK, NY 10065(212) 752-3692(212) 838-5636 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Avenue Dermatology Associates, Pc NPPES

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

PARK AVENUE DERMATOLOGY ASSOCIATES, PC (NPI 1497050231) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since January 2011. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Robert Leslie Warner, President, as its authorized official.

NPPES Registry Identity

NPI1497050231
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePARK AVENUE DERMATOLOGY ASSOCIATES, PC
Location Address580 PARK AVENew York, NY 10065-7313
Mailing Address580 Park AveNew York, NY 10065-7313 · (212) 752-3692 · Fax (212) 838-5636
Phone(212) 752-3692
Fax(212) 838-5636
Organization SubpartNo
Authorized OfficialRobert Leslie WarnerPresident · (212) 752-3692
Enumeration DateJanuary 25, 2011
✔ NPI 1497050231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
580 PARK AVE, New York, NY 10065
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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 for Provider-Performed Microscopy Procedures (PPMP) 33D0129875

Park Avenue Dermatology Associates PC · New York, NY
Active · expires Aug 31, 2026
CLIA Number33D0129875
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRobert L. Warner
Laboratory Phone(212) 752-3692
Laboratory LocationPark Avenue Dermatology Associates PC580 Park Ave, New York, NY 10021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

DR. JEFFREY STEPHEN ROTH MD
Dermatology
580 PARK AVE
NEW YORK, NY 10065
New York County (212) 752-3692
RICHARD MICHAEL KUSHNER DPM
Podiatrist
580 PARK AVE, SUITE 1C
NEW YORK, NY 10065
New York County (212) 355-2875
COMPLEXION MEDICAL PLLC
Dermatology
580 PARK AVE
NEW YORK, NY 10065
New York County (212) 752-3692
MAURICE M KHOSH MD PC
Otolaryngology (Facial Plastic Surgery)
580 PARK AVE, SUITE 1BE
NEW YORK, NY 10065
New York County (212) 339-9988
DR. ROBERT LESLIE WARNER MD
Dermatology
580 PARK AVE
NEW YORK, NY 10065
New York County (212) 752-3692

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 Park Avenue Dermatology Associates, PC's NPI number?

The NPI number for Park Avenue Dermatology Associates, PC is 1497050231. It was assigned to this organization in the NPPES registry on January 25, 2011.

Where is Park Avenue Dermatology Associates, PC located?

Park Avenue Dermatology Associates, PC is located at 580 Park Ave, New York, NY 10065. The listed phone number is (212) 752-3692.

What is Park Avenue Dermatology Associates, PC's specialty?

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

Does Park Avenue Dermatology Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0129875) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Avenue Dermatology Associates, PC was last updated on January 25, 2011. 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.