PARK AVENUE DERMATOLOGY ASSOCIATES, PC
NPI 1497050231
Dermatology in New York, NY
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 lists Robert Leslie Warner, President, 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)
Park Avenue Dermatology Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Park Avenue Dermatology Associates, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Park Avenue Dermatology Associates, PC enrolled in Medicare?
Yes. Park Avenue Dermatology Associates, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Avenue Dermatology Associates, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Park Avenue Dermatology Associates, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.