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BODIAN DERMATOLOGY GROUP, P.C
NPI 1659412104
Specialist in Great Neck, NY

Active since February 09, 2007CLIA 33D0678450 · Certificate of Compliance
11 GRACE AVE, SUITE 100, GREAT NECK, NY 11021(516) 482-2882(516) 482-6039 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bodian Dermatology Group, P.c NPPES

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

BODIAN DERMATOLOGY GROUP, P.C (NPI 1659412104) is a healthcare organization registered as a specialist in Great Neck, New York and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through October 12, 2027 and lists Adam Ben Bodian, President, as its authorized official.

NPPES Registry Identity

NPI1659412104
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBODIAN DERMATOLOGY GROUP, P.C
Location Address11 GRACE AVE, SUITE 100Great Neck, NY 11021-2417
Mailing Address11 Grace Ave, Suite 100Great Neck, NY 11021-2417 · (516) 482-2882 · Fax (516) 482-6039
Phone(516) 482-2882
Fax(516) 482-6039
Organization SubpartNo
Authorized OfficialAdam Ben BodianPresident · (516) 482-2882
Enumeration DateFebruary 9, 2007
Last NPPES UpdateMay 29, 2008
✔ NPI 1659412104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 176289
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.
11 GRACE AVE, Great Neck, NY 11021
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Other Identifiers 2

OtherCN7593NY · Railroad Medicare
Medicare ID-Type UnspecifiedWEN681NY

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

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 33D0678450

Bodian Dermatology Group PC · Great Neck, NY
Active · expires Oct 12, 2027
CLIA Number33D0678450
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorDr. Mary T. Parisi
Laboratory Phone(516) 482-2882
Laboratory LocationBodian Dermatology Group PC11 Grace Avenue, Suite 100, Great Neck, NY 11021
CLIA data matches this NPI record on: Address 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 6

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

PSYCHOLOGICAL POTENTIALS PC
Psychologist
11 GRACE AVE, STE 300
GREAT NECK, NY 11021
Nassau County (516) 625-4446
COMPREHENSIVE MEDICAL ASSIST P.C.
Physician Assistant (Surgical)
11 GRACE AVE, SUITE 204
GREAT NECK, NY 11021
Nassau County (516) 654-5551
AK AUDIOLOGY CARE PC
Audiologist
11 GRACE AVE, SUITE 106
GREAT NECK, NY 11021
Nassau County (516) 829-8323
DR. ADAM BEN BODIAN MD
Dermatology (Procedural Dermatology)
11 GRACE AVE, SUITE 100 BODIAN DERMATOLOGY GROUP PC
GREAT NECK, NY 11021
Nassau County (516) 482-2882
DR. DEBORA BARCHILON MD
Psychiatry & Neurology (Psychiatry)
11 GRACE AVE, SUITE 204
GREAT NECK, NY 11021
Nassau County (516) 482-4064
DR. DAVID ALAN SCHWARTZ DDS
Dentist
11 GRACE AVE, SUITE 101
GREAT NECK, NY 11021
Nassau County (516) 482-7566

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 Bodian Dermatology Group, P.C's NPI number?

The NPI number for Bodian Dermatology Group, P.C is 1659412104. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Bodian Dermatology Group, P.C located?

Bodian Dermatology Group, P.C is located at 11 Grace Ave Suite 100, Great Neck, NY 11021. The listed phone number is (516) 482-2882.

What is Bodian Dermatology Group, P.C's specialty?

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

Does Bodian Dermatology Group, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0678450) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bodian Dermatology Group, P.C was last updated on May 29, 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.