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COSMETIQUE DERMATOLOGY, LASER & PLASTIC SURGERY, LLP
NPI 1710987227
Dermatology - MOHS-Micrographic Surgery in Greenvale, NY

Active since July 26, 2005CLIA 33D0665524 · Certificate of Compliance
31 NORTHERN BLVD, GREENVALE, NY 11548(516) 484-9000(516) 484-7549 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cosmetique Dermatology, Laser & Plastic Surgery, Llp NPPES

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

COSMETIQUE DERMATOLOGY, LASER & PLASTIC SURGERY, LLP (NPI 1710987227) is a healthcare organization registered as a mohs-micrographic surgery in Greenvale, New York and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through January 24, 2027 and lists Robert H Gotkin, Partner, as its authorized official.

NPPES Registry Identity

NPI1710987227
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCOSMETIQUE DERMATOLOGY, LASER & PLASTIC SURGERY, LLP
Location Address31 NORTHERN BLVDGreenvale, NY 11548-1320
Mailing Address31 Northern BlvdGreenvale, NY 11548-1320 · (516) 484-9000 · Fax (516) 484-7549
Phone(516) 484-9000
Fax(516) 484-7549
Organization SubpartNo
Authorized OfficialRobert H GotkinPartner · (516) 484-9000
Enumeration DateJuly 26, 2005
Last NPPES UpdateJune 26, 2008
✔ NPI 1710987227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NY · 146515
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 147060-1 (NY)
31 NORTHERN BLVD, Greenvale, NY 11548
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Other Identifiers 1

Medicare PINWXWPW1NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 33D0665524

Cosmetique Dermatology Laser & Plastic Surgery,llp · Greenvale, NY
Active · expires Jan 24, 2027
CLIA Number33D0665524
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorDr. Deborah S. Sarnoff
Laboratory Phone(516) 484-9000
Laboratory LocationCosmetique Dermatology Laser & Plastic Surgery,llp31 Northern Boulevard, Greenvale, NY 11548
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 3

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

DR. ROBERT H GOTKIN MD
Plastic Surgery
31 NORTHERN BLVD
GREENVALE, NY 11548
Nassau County (516) 484-9000
AMY E ROSE MD
Dermatology
31 NORTHERN BLVD
GREENVALE, NY 11548
Nassau County (516) 484-9000
DR. DEBORAH S SARNOFF MD
Dermatology (MOHS-Micrographic Surgery)
31 NORTHERN BLVD
GREENVALE, NY 11548
Nassau County (516) 484-9000

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 Cosmetique Dermatology, Laser & Plastic Surgery, LLP's NPI number?

The NPI number for Cosmetique Dermatology, Laser & Plastic Surgery, LLP is 1710987227. It was assigned to this organization in the NPPES registry on July 26, 2005.

Where is Cosmetique Dermatology, Laser & Plastic Surgery, LLP located?

Cosmetique Dermatology, Laser & Plastic Surgery, LLP is located at 31 Northern Blvd, Greenvale, NY 11548. The listed phone number is (516) 484-9000.

What is Cosmetique Dermatology, Laser & Plastic Surgery, LLP's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Cosmetique Dermatology, Laser & Plastic Surgery, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0665524) is associated with this NPI, valid through January 24, 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 Cosmetique Dermatology, Laser & Plastic Surgery, LLP was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.