SOMA MEDICAL SERVICES, P.C.
NPI 1720684087
Dermatology in Staten Island, NY

Active since December 10, 2020CLIA 33D2213487 · Waiver
1655 RICHMOND AVE STE E, STATEN ISLAND, NY 10314(718) 682-1900(718) 682-1893 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soma Medical Services, P.c. NPPES

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

SOMA MEDICAL SERVICES, P.C. (NPI 1720684087) is a healthcare organization registered as a dermatology in Staten Island, New York and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Nicholas P. Roussis, Owner, as its authorized official.

NPPES Registry Identity

NPI1720684087
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOMA MEDICAL SERVICES, P.C.
Location Address1655 RICHMOND AVE STE EStaten Island, NY 10314-1582
Mailing Address4735 Hylan BlvdStaten Island, NY 10312-6313 · (917) 833-5648
Fax(718) 682-1893
Organization SubpartNo
Authorized OfficialNicholas P. RoussisOwner · (917) 833-5648
Enumeration DateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
NPI 1720684087 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.
1655 RICHMOND AVE STE E, Staten Island, NY 10314

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

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 Waiver 33D2213487

Soma Medical Services, PC · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2213487
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Nicholas P. Roussis
Laboratory Phone(718) 682-1900
Laboratory LocationSoma Medical Services, PC236 Richmond Valley Road, Staten Island, NY 10309
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Soma Medical Services, P.C.'s NPI number?

The NPI number for Soma Medical Services, P.C. is 1720684087. It was assigned to this organization in the NPPES registry on December 10, 2020.

Where is Soma Medical Services, P.C. located?

Soma Medical Services, P.C. is located at 1655 Richmond Ave Ste E, Staten Island, NY 10314. The listed phone number is (718) 682-1900.

What is Soma Medical Services, P.C.'s specialty?

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

Does Soma Medical Services, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2213487) is associated with this NPI, valid through March 26, 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 Soma Medical Services, P.C. was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.