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WINSTON DERMATOLOGY ASSOCIATES, PC
NPI 1710988613
Dermatology in Port Jefferson Station, NY

Active since August 02, 2005
2 MEDICAL DR, STE A, PORT JEFFERSON STATION, NY 11776(631) 928-1555(631) 928-1570 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Winston Dermatology Associates, Pc NPPES

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

WINSTON DERMATOLOGY ASSOCIATES, PC (NPI 1710988613) is a healthcare organization registered as a dermatology in Port Jefferson Station, New York and active in the NPI registry since August 2005. The organization lists Michael Howard Winston, Secretary, as its authorized official.

NPPES Registry Identity

NPI1710988613
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWINSTON DERMATOLOGY ASSOCIATES, PC
Location Address2 MEDICAL DR, STE APort Jefferson Station, NY 11776-1598
Mailing Address2 Medical Dr, Ste APort Jefferson Station, NY 11776-1598 · (631) 928-1555 · Fax (631) 928-1570
Phone(631) 928-1555
Fax(631) 928-1570
Organization SubpartNo
Authorized OfficialMichael Howard WinstonSecretary · (631) 928-1555
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1710988613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2 MEDICAL DR, Port Jefferson Station, NY 11776
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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Winston Dermatology Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Winston Dermatology Associates, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jacqueline Fern, M.D.
Dermatology
NPI 1235114752
2 MEDICAL DR SUITE A
Port Jefferson Station, NY 11776
(631) 928-1555
✔ PECOS✔ Accepts MedicareSame address
Michael Winston, MD
Dermatology
NPI 1194725242
2 MEDICAL DR SUITE A
Port Jefferson Station, NY 11776
(631) 928-1555
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Winston Dermatology Associates, PC's NPI number?

The NPI number for Winston Dermatology Associates, PC is 1710988613. It was assigned to this organization in the NPPES registry on August 2, 2005.

Where is Winston Dermatology Associates, PC located?

Winston Dermatology Associates, PC is located at 2 Medical Dr Ste A, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-1555.

What is Winston Dermatology Associates, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Winston Dermatology Associates, PC enrolled in Medicare?

Yes. Winston Dermatology Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Winston Dermatology Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Winston Dermatology Associates, PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Winston Dermatology Associates, PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.