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CITY CENTRAL DERMATOLOGY PLLC
NPI 1780977579
Specialist in Elmhurst, NY

Active since May 26, 2011
40-37 74 STREET, ELMHURST, NY 11323(718) 651-7000 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About City Central Dermatology Pllc NPPES

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

CITY CENTRAL DERMATOLOGY PLLC (NPI 1780977579) is a healthcare organization registered as a specialist in Elmhurst, New York and active in the NPI registry since May 2011. The organization lists Michael Berry, Md, as its authorized official.

NPPES Registry Identity

NPI1780977579
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCITY CENTRAL DERMATOLOGY PLLC
Location Address40-37 74 STREETElmhurst, NY 11323
Mailing Address40-37 74 StreetElmhurst, NY 11323
Phone(718) 651-7000
Organization SubpartNo
Authorized OfficialMichael BerryMd · (718) 651-7000
Enumeration DateMay 26, 2011
✔ NPI 1780977579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
40-37 74 STREET, Elmhurst, NY 11323
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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

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 33D2087507

City-Central Dermatology PC · Elmhurst, NY
Expired · Jul 31, 2026
CLIA Number33D2087507
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Ezra Hazan
Laboratory Phone(718) 651-7000
Laboratory LocationCity-Central Dermatology PC40-37 74th Street, Basement Level, Elmhurst, NY 11373
CLIA data matches this NPI record on: 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.

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 City Central Dermatology PLLC's NPI number?

The NPI number for City Central Dermatology PLLC is 1780977579. It was assigned to this organization in the NPPES registry on May 26, 2011.

Where is City Central Dermatology PLLC located?

City Central Dermatology PLLC is located at 40-37 74 Street, Elmhurst, NY 11323. The listed phone number is (718) 651-7000.

What is City Central Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for City Central Dermatology PLLC was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.