NEW YORK DERMATOLOGY SERVICES, PLLC
NPI 1679820765
Clinic/Center in New York, NY

NPI Status: Active since August 08, 2012

Contact Information

19 BOWERY, 2/FL., SUITE 1
NEW YORK, NY
ZIP 10002
Phone: (212) 308-7868

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  • Organization
  • Clinic/Center
  • CLIA Number: 33D2046971
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-13-2026

About NEW YORK DERMATOLOGY SERVICES, PLLC

This page provides the complete NPI Profile along with additional information for New York Dermatology Services, Pllc, a provider established in New York, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1679820765 assigned on August 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 204984 (NY). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Irene Lu M.d. (Medical Doctor)

NPI
1679820765
Provider Name
NEW YORK DERMATOLOGY SERVICES, PLLC
Entity Type
Organization
Location Address
19 BOWERY, 2/FL., SUITE 1 NEW YORK, NY 10002
Location Phone
(212) 308-7868
Mailing Address
9707 63RD RD APT 14E REGO PARK, NY 11374
Mailing Phone
(212) 308-7868
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2012
Last Update Date
11-26-2025
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Location Map

Secondary Locations

  • 3 Bowery
    New York, NY 10002
    (646) 833-7171

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
204984
License State
NY
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. IRENE LU M.D.

Authorized Official Title
MEDICAL DOCTOR
Authorized Official Phone
(212) 308-7868

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2046971
Facility Type
Physician Office
Certificate Effective Date
September 14, 2024
Certificate Expiration Date
September 13, 2026
Laboratory Director
DR. IRENE LU
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to New York Dermatology Services, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679820765, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 6 + 2 + 0 + 7 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1679820765.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679820765, enumerated as an "organization" on August 08, 2012.

The provider is located at 19 BOWERY, 2/FL., SUITE 1 NEW YORK, NY 10002 and the phone number is (212) 308-7868.

Clinic/Center with taxonomy code 261Q00000X.