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AESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C.
NPI 1679702740
Dermatology in New Hyde Park, NY

Active since July 09, 2009CLIA 33D0908151 · Certificate of Compliance
3111 NEW HYDE PARK RD, NEW HYDE PARK, NY 11042(516) 365-2300 Get Directions Write a Review

NPPES record last updated: July 16, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aesthetic And Surgical Dermatology Of New York, P.c. NPPES

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

AESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C. (NPI 1679702740) is a healthcare organization registered as a dermatology in New Hyde Park, New York and active in the NPI registry since July 2009. The organization holds a CLIA Certificate of Compliance certificate valid through January 16, 2028 and lists Carole Hazan, President, as its authorized official.

NPPES Registry Identity

NPI1679702740
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAESTHETIC AND SURGICAL DERMATOLOGY OF NEW YORK, P.C.
Location Address3111 NEW HYDE PARK RDNew Hyde Park, NY 11042-1217
Mailing Address3111 New Hyde Park RdNew Hyde Park, NY 11042-1217 · (516) 365-2300
Phone(516) 365-2300
Organization SubpartNo
Authorized OfficialCarole HazanPresident · (516) 365-2300
Enumeration DateJuly 9, 2009
Last NPPES UpdateJuly 16, 2009
✔ NPI 1679702740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 243559
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 243559 (NY)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 243559 (NY)
3111 NEW HYDE PARK RD, New Hyde Park, NY 11042
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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 MULTIPLE 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)

Aesthetic And Surgical Dermatology Of New York, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Aesthetic And Surgical Dermatology Of New York, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Carole Hazan, MD
Dermatology
NPI 1871713156
3111 NEW HYDE PARK RD
New Hyde Park, NY 11042
(516) 365-2300
✔ PECOS✔ Accepts MedicareSame address

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 33D0908151

Aesthetic & Surgical Dermatology Of New York, PC · New Hyde Park, NY
Active · expires Jan 16, 2028
CLIA Number33D0908151
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorDr. Carole Hazan
Laboratory Phone(516) 365-2300
Laboratory LocationAesthetic & Surgical Dermatology Of New York, PC3111 New Hyde Park Road, New Hyde Park, NY 11042
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 Aesthetic And Surgical Dermatology Of New York, P.C.'s NPI number?

The NPI number for Aesthetic And Surgical Dermatology Of New York, P.C. is 1679702740. It was assigned to this organization in the NPPES registry on July 9, 2009.

Where is Aesthetic And Surgical Dermatology Of New York, P.C. located?

Aesthetic And Surgical Dermatology Of New York, P.C. is located at 3111 New Hyde Park Rd, New Hyde Park, NY 11042. The listed phone number is (516) 365-2300.

What is Aesthetic And Surgical Dermatology Of New York, P.C.'s specialty?

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

Is Aesthetic And Surgical Dermatology Of New York, P.C. enrolled in Medicare?

Yes. Aesthetic And Surgical Dermatology Of New York, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aesthetic And Surgical Dermatology Of New York, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Aesthetic And Surgical Dermatology Of New York, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Aesthetic And Surgical Dermatology Of New York, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0908151) is associated with this NPI, valid through January 16, 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 Aesthetic And Surgical Dermatology Of New York, P.C. was last updated on July 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.