GOLD COAST DERMATOLOGY PC
NPI 1578138343
Dermatology in Commack, NY

Active since May 25, 2021
149 COMMACK RD STE B, COMMACK, NY 11725(631) 467-4653 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2021, May 25, 2021 (2 updates tracked since 2021).

About Gold Coast Dermatology Pc NPPES

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

GOLD COAST DERMATOLOGY PC (NPI 1578138343) is a healthcare organization registered as a dermatology in Commack, New York and active in the NPI registry since May 2021. The organization lists Charisse L Mccall, President, as its authorized official.

NPPES Registry Identity

NPI1578138343
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGOLD COAST DERMATOLOGY PC
Location Address149 COMMACK RD STE BCommack, NY 11725-3459
Mailing Address149 Commack Rd Ste BCommack, NY 11725-3459 · (631) 467-4653
Organization SubpartNo
Authorized OfficialCharisse L MccallPresident · (631) 467-4653
Enumeration DateMay 25, 2021
Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
NPI 1578138343 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.
149 COMMACK RD STE B, Commack, NY 11725

Other Identifiers 1

Medicaid03918898NY

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

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 Gold Coast Dermatology PC's NPI number?

The NPI number for Gold Coast Dermatology PC is 1578138343. It was assigned to this organization in the NPPES registry on May 25, 2021.

Where is Gold Coast Dermatology PC located?

Gold Coast Dermatology PC is located at 149 Commack Rd Ste B, Commack, NY 11725. The listed phone number is (631) 467-4653.

What is Gold Coast Dermatology PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Gold Coast Dermatology PC was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.