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ACTIVE DERMATOLOGY PLLC
NPI 1720750573
Dermatology in Brooklyn, NY

Active since September 30, 2021
488 DECATUR ST APT 2, BROOKLYN, NY 11233(201) 743-9134(816) 400-0441 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2022, Sep 30, 2021 (2 updates tracked since 2021).

About Active Dermatology Pllc NPPES

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

ACTIVE DERMATOLOGY PLLC (NPI 1720750573) is a healthcare organization registered as a dermatology in Brooklyn, New York and active in the NPI registry since September 2021. The organization lists Camille Howard-verovic, Owner, as its authorized official.

NPPES Registry Identity

NPI1720750573
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameACTIVE DERMATOLOGY PLLC
Location Address488 DECATUR ST APT 2Brooklyn, NY 11233-6682
Mailing Address488 Decatur St Apt 2Brooklyn, NY 11233-6682 · (201) 743-9134 · Fax (816) 400-0441
Phone(201) 743-9134
Fax(816) 400-0441
Organization SubpartNo
Authorized OfficialCamille Howard-verovicOwner · (201) 743-9134
Enumeration DateSeptember 30, 2021
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1720750573 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.
488 DECATUR ST APT 2, Brooklyn, NY 11233
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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

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 Active Dermatology PLLC's NPI number?

The NPI number for Active Dermatology PLLC is 1720750573. It was assigned to this organization in the NPPES registry on September 30, 2021.

Where is Active Dermatology PLLC located?

Active Dermatology PLLC is located at 488 Decatur St Apt 2, Brooklyn, NY 11233. The listed phone number is (201) 743-9134.

What is Active Dermatology PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Active Dermatology PLLC was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.