UPSTATE DERMATOLOGY, PC
NPI 1609826163
Dermatology in Castleton, NY
About Upstate Dermatology, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPSTATE DERMATOLOGY, PC (NPI 1609826163), doing business as Upper Hudson Valley Dermatology, Pc, is a healthcare organization registered as a dermatology in Castleton, New York and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Anthony Neal Gregory, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
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)
Upstate Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Upstate Dermatology, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
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 33D2317171
Upstate Dermatology PC · Saratoga Springs, NYCertificate of Compliance 33D0955319
Upstate Dermatology PC · Castleton, 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 Upstate Dermatology, PC's NPI number?
The NPI number for Upstate Dermatology, PC is 1609826163. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider was formerly known as Upper Hudson Valley Dermatology, PC.
Where is Upstate Dermatology, PC located?
Upstate Dermatology, PC is located at 1547 Columbia Tpke, Castleton, NY 12033. The listed phone number is (518) 479-4156.
What is Upstate Dermatology, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Upstate Dermatology, PC enrolled in Medicare?
Yes. Upstate Dermatology, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upstate Dermatology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Upstate Dermatology, 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. The largest specialties are Nurse Practitioner (7), Dermatology (1) and Pathology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Upstate Dermatology, PC 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 Upstate Dermatology, PC was last updated on August 4, 2015. 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.
# Upstate Dermatology, Pc · NPI 1609826163
Dermatology organization in Castleton, New York. Organization record, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1609826163 (Entity type: Organization)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Anthony Gregory, PRESIDENT
## Practice location
- **Address:** 1547 COLUMBIA TPKE, Castleton, NY 12033-9543
- **Phone:** (518) 479-4156
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Dermatology (1), Pathology (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2015
- **Other identifiers:** Medicare UPIN D27004 (NY); Medicare PIN W34181 (NY); Medicare PIN AA0422; and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609826163) · Data from the CMS NPPES public registry.