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

Active since August 08, 2012CLIA 33D2046971 · Microscopy
19 BOWERY, 2/FL., SUITE 1, NEW YORK, NY 10002(212) 308-7868 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2025, Nov 11, 2025 (2 updates tracked since 2025).

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 holds a CLIA Microscopy certificate valid through September 13, 2026, maintains a secondary practice location in New York, and lists Irene Lu, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1679820765
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNEW YORK DERMATOLOGY SERVICES, PLLC
Location Address19 BOWERY, 2/FL., SUITE 1New York, NY 10002
Mailing Address9707 63rd Rd Apt 14eRego Park, NY 11374-1605 · (212) 308-7868
Phone(212) 308-7868
Organization SubpartNo
Authorized OfficialIrene LuMedical Doctor · (212) 308-7868
Enumeration DateAugust 8, 2012
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1679820765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 204984
Definition
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).
19 BOWERY, 2/FL., SUITE 1, New York, NY 10002
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Secondary Practice Location 1

Location 13 BoweryNew York, NY 10002-6702 · Phone (646) 833-7171 · Fax (646) 833-7338

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, NY
Active · expires Sep 13, 2026
CLIA Number33D2046971
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorDr. Irene Lu
Laboratory Phone(212) 308-7868
Laboratory LocationNew York Dermatology Services, PLLC19 Bowery, 2nd Floor, Suite 1, New York, NY 10002
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 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.

Does New York Dermatology Services, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2046971) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.