VANGUARD DERMATOLOGY PC
NPI 1619179009
Specialist in Brooklyn, NY
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 5 active CLIA laboratory certificates and lists Michael Shapiro, Physician-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Vanguard Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Vanguard Dermatology PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (15)
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 5
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 Waiver 33D2309459
Vanguard Dermatology PC · Brooklyn, NYCertificate of Compliance 33D1044873
Vanguard Dermatology PC · Brooklyn, NYCertificate of Waiver 33D2253892
Vanguard Dermatology, PC · New York, NYCertificate of Compliance 33D1071476
Vanguard Dermatology · Forest Hills, NYCertificate of Compliance 33D2036808
Vanguard Dermatology · Staten Island, 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 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.
Is Vanguard Dermatology PC enrolled in Medicare?
Yes. Vanguard Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vanguard Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Vanguard 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 (6) and Otolaryngology (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vanguard Dermatology PC hold CLIA laboratory certificates?
Yes. 5 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 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 46 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.
# Vanguard Dermatology Pc · NPI 1619179009
Specialist organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since June 5, 2007.
## Identity
- **NPI:** 1619179009 (Entity type: Organization)
- **Enumerated:** June 5, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Michael Shapiro, PHYSICIAN-OWNER
## Practice location
- **Address:** 2148 OCEAN AVE FL 5, Brooklyn, NY 11229-1484
- **Phone:** (212) 398-1288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Dermatology (6), Otolaryngology (1); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2026
- **Other identifiers:** Medicaid 02692937 (NY)
- **CLIA laboratory certificates:** 5 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619179009) · Data from the CMS NPPES public registry.