DR. KATHLEEN ROSE VINE M.D.
NPI 1659534410
Dermatology in New York, NY
About Dr. Kathleen Rose Vine M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN ROSE VINE M.D. (NPI 1659534410) is an individual dermatology provider in New York, New York, licensed in New York (262895) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through September 15, 2026, and is affiliated with Suny/stony Brook University Hospital.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kathleen Rose Vine M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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 33D2193038
Kathleen Vine MD PC Dba Amangansett Dermatology · Amagansett, NYAreas of Expertise CMS Part B claims 31
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Suny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10010
NEW YORK, NY 10010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659534410, enumerated as an "individual" on July 02, 2008.
The provider is located at 928 BROADWAY SUITE 301 NEW YORK, NY 10010 and the phone number is (646) 421-6064.
Dermatology with taxonomy code 207N00000X.
Kathleen Vine is affiliated with: SUNY/STONY BROOK UNIVERSITY HOSPITAL.
