WALL STREET DERMATOLOGY
NPI 1679992457
Dermatology - Procedural Dermatology in New York, NY
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
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wall Street Dermatology 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 Wall Street Dermatology, 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 of Compliance 33D2083463
Tzu Dermatology PC · 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 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.
Is Tzu Dermatology, P.C. enrolled in Medicare?
Yes. Tzu Dermatology, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tzu Dermatology, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Tzu Dermatology, 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 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.
# Wall Street Dermatology · NPI 1679992457
Procedural Dermatology organization in New York, New York. Organization record, active in the CMS NPPES registry since April 9, 2014.
## Identity
- **NPI:** 1679992457 (Entity type: Organization)
- **Enumerated:** April 9, 2014
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Legal business name:** Tzu Dermatology, P.c.
- **Organization subpart:** No
- **Authorized official:** Julia Tzu, MEDICAL DIRECTOR
## Practice location
- **Address:** 65 BROADWAY STE 904, New York, NY 10006-2523
- **Phone:** (212) 931-0538 · **Fax:** (212) 430-3797
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** July 23, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679992457) · Data from the CMS NPPES public registry.