BAY RIDGE SKIN AND CANCER DERMATOLOGY, PC
NPI 1639332281
Dermatology in Brooklyn, NY

Active since July 03, 2008CLIA 33D0687686 · Certificate of Compliance
9921 4TH AVE, BROOKLYN, NY 11209(718) 833-7616 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bay Ridge Skin And Cancer Dermatology, Pc NPPES

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

BAY RIDGE SKIN AND CANCER DERMATOLOGY, PC (NPI 1639332281) is a healthcare organization registered as a dermatology in Brooklyn, New York and active in the NPI registry since July 2008. The organization holds a CLIA Certificate of Compliance certificate valid through November 15, 2026 and lists David Biro, President, as its authorized official.

NPPES Registry Identity

NPI1639332281
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBAY RIDGE SKIN AND CANCER DERMATOLOGY, PC
Location Address9921 4TH AVEBrooklyn, NY 11209-8347
Mailing Address9921 4th AveBrooklyn, NY 11209-8347 · (718) 833-7616
Organization SubpartNo
Authorized OfficialDavid BiroPresident · (718) 833-7616
Enumeration DateJuly 3, 2008
✔ NPI 1639332281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 194876
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.
9921 4TH AVE, Brooklyn, NY 11209

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bay Ridge Skin And Cancer Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bay Ridge Skin And Cancer Dermatology, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1265439129
9921 4TH AVE
Brooklyn, NY 11209
(718) 833-7616
✔ PECOSSame address
Nurse Practitioner
NPI 1467966523
4 PARAGON WAY STE 300
Freehold, NJ 07728
(844) 337-6362
✔ PECOS27 mi

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

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 33D0687686

Bay Ridge Skin & Cancer Derm · Brooklyn, NY
Active · expires Nov 15, 2026
CLIA Number33D0687686
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDr. David E. Biro
Laboratory Phone(718) 833-7616
Laboratory LocationBay Ridge Skin & Cancer Derm9921 - 4th Ave, Brooklyn, NY 11209
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Bay Ridge Skin And Cancer Dermatology, PC's NPI number?

The NPI number for Bay Ridge Skin And Cancer Dermatology, PC is 1639332281. It was assigned to this organization in the NPPES registry on July 3, 2008.

Where is Bay Ridge Skin And Cancer Dermatology, PC located?

Bay Ridge Skin And Cancer Dermatology, PC is located at 9921 4th Ave, Brooklyn, NY 11209. The listed phone number is (718) 833-7616.

What is Bay Ridge Skin And Cancer Dermatology, PC's specialty?

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

Is Bay Ridge Skin And Cancer Dermatology, PC enrolled in Medicare?

Yes. Bay Ridge Skin And Cancer Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay Ridge Skin And Cancer Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bay Ridge Skin And Cancer Dermatology, PC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bay Ridge Skin And Cancer Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0687686) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bay Ridge Skin And Cancer Dermatology, PC was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.