NEW YORK DERMATOLOGY SERVICES, PLLC
NPI 1679820765
Clinic/Center in New York, NY
About New York Dermatology Services, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK DERMATOLOGY SERVICES, PLLC (NPI 1679820765) is a healthcare organization registered as a clinic/center in New York, New York and active in the NPI registry since August 2012. The organization maintains a secondary practice location in New York and lists Irene Lu, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New York Dermatology Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to New York Dermatology Services, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 33D2046971
New York Dermatology Services, PLLC · New York, NYFrequently 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 New York Dermatology Services, PLLC's NPI number?
The NPI number for New York Dermatology Services, PLLC is 1679820765. It was assigned to this organization in the NPPES registry on August 8, 2012.
Where is New York Dermatology Services, PLLC located?
New York Dermatology Services, PLLC is located at 19 Bowery, 2/Fl., Suite 1, New York, NY 10002. The listed phone number is (212) 308-7868.
What is New York Dermatology Services, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is New York Dermatology Services, PLLC enrolled in Medicare?
Yes. New York Dermatology Services, PLLC is registered in the Medicare PECOS enrollment system.
When is New York Dermatology Services, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through New York Dermatology Services, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to New York Dermatology Services, PLLC. 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.
When was this NPI record last updated?
The NPPES record for New York Dermatology Services, PLLC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# New York Dermatology Services, Pllc · NPI 1679820765
Clinic/Center organization in New York, New York. Organization record, active in the CMS NPPES registry since August 8, 2012.
## Identity
- **NPI:** 1679820765 (Entity type: Organization)
- **Enumerated:** August 8, 2012
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Irene Lu, MEDICAL DOCTOR
## Practice location
- **Address:** 19 BOWERY, 2/FL., SUITE 1, New York, NY 10002
- **Phone:** (212) 308-7868
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1679820765) · Data from the CMS NPPES public registry.