WALL STREET DERMATOLOGY
NPI 1679992457
Dermatology - Procedural Dermatology in New York, NY

Active since April 09, 2014CLIA 33D2083463 · Certificate of Compliance
65 BROADWAY STE 904, NEW YORK, NY 10006(212) 931-0538(212) 430-3797 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Wall Street Dermatology NPPES

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

WALL STREET DERMATOLOGY (NPI 1679992457) is a healthcare organization registered as a procedural dermatology in New York, New York and active in the NPI registry since April 2014. The organization holds a CLIA Certificate of Compliance certificate valid through May 5, 2027 and lists Julia Tzu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679992457
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameTZU DERMATOLOGY, P.C.
Location Address65 BROADWAY STE 904New York, NY 10006-2523
Mailing Address65 Broadway, 904New York, NY 10006-2523 · (212) 931-0538 · Fax (212) 430-3797
Fax(212) 430-3797
Organization SubpartNo
Authorized OfficialJulia TzuMedical Director · (212) 931-0538
Enumeration DateApril 9, 2014
Last NPPES UpdateJuly 23, 2019
✔ NPI 1679992457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in NY · 256102
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatologyTaxonomy 207N00000X · License 256102 (NY)
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 256012 (NY)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 256102 (NY)
65 BROADWAY STE 904, New York, NY 10006

Other Names 1

Doing Business AsWall Street Dermatology

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

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 33D2083463

Tzu Dermatology PC · New York, NY
Active · expires May 5, 2027
CLIA Number33D2083463
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorDr. Julia E. Tzu
Laboratory Phone(212) 931-0538
Laboratory LocationTzu Dermatology PC65 Broadway, Suite 904, New York, NY 10006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (Procedural Dermatology)
65 BROADWAY STE 904
NEW YORK, NY 10006

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 Tzu Dermatology, P.C.'s NPI number?

The NPI number for Tzu Dermatology, P.C. is 1679992457. It was assigned to this organization in the NPPES registry on April 9, 2014. The provider is doing business as Wall Street Dermatology.

Where is Tzu Dermatology, P.C. located?

Tzu Dermatology, P.C. is located at 65 Broadway Ste 904, New York, NY 10006. The listed phone number is (212) 931-0538.

What is Tzu Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Tzu Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2083463) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tzu Dermatology, P.C. was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.