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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VANGUARD DERMATOLOGY PC
NPI 1619179009
Specialist in Brooklyn, NY

Active since June 05, 2007CLIA 33D1044873 · Certificate of Compliance
2148 OCEAN AVE FL 5, BROOKLYN, NY 11229(212) 398-1288 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Vanguard Dermatology Pc NPPES

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

VANGUARD DERMATOLOGY PC (NPI 1619179009) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since June 2007. The organization holds a CLIA Certificate of Compliance certificate valid through February 26, 2028 and lists Michael Shapiro, Physician-owner, as its authorized official.

NPPES Registry Identity

NPI1619179009
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVANGUARD DERMATOLOGY PC
Location Address2148 OCEAN AVE FL 5Brooklyn, NY 11229-1484
Mailing Address2148 Ocean Ave Fl 5Brooklyn, NY 11229-1484 · (212) 398-1288 · Fax (929) 604-8566
Phone(212) 398-1288
Organization SubpartNo
Authorized OfficialMichael ShapiroPhysician-owner · (212) 398-1288
Enumeration DateJune 5, 2007
Last NPPES UpdateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1619179009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 234760
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.
2148 OCEAN AVE FL 5, Brooklyn, NY 11229
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Other Identifiers 1

Medicaid02692937NY

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 of Compliance 33D1044873

Vanguard Dermatology PC · Brooklyn, NY
Active · expires Feb 26, 2028
CLIA Number33D1044873
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorDr. Michael Shapiro
Laboratory Phone(212) 398-1288
Laboratory LocationVanguard Dermatology PC2148 Ocean Avenue, 5th Floor Suite 501, Brooklyn, NY 11229
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

DIMITRI FEDOROV PA
Physician Assistant (Medical)
2148 OCEAN AVE FL 5
BROOKLYN, NY 11229
Kings County (212) 398-1288
IGOR ROMANOV NP
Nurse Practitioner (Adult Health)
2148 OCEAN AVE FL 5
BROOKLYN, NY 11229
Kings County (212) 398-1288
DR. MICHAEL SHAPIRO MD
Dermatology
2148 OCEAN AVE FL 5
BROOKLYN, NY 11229
Kings County (123) 981-2882
BENJAMIN REINHARDT M.D.
Dermatology
2148 OCEAN AVE FL 5
BROOKLYN, NY 11229
Kings County (212) 398-1288

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 Vanguard Dermatology PC's NPI number?

The NPI number for Vanguard Dermatology PC is 1619179009. It was assigned to this organization in the NPPES registry on June 5, 2007.

Where is Vanguard Dermatology PC located?

Vanguard Dermatology PC is located at 2148 Ocean Ave Fl 5, Brooklyn, NY 11229. The listed phone number is (212) 398-1288.

What is Vanguard Dermatology PC's specialty?

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

Does Vanguard Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1044873) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vanguard Dermatology PC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.