CITY CENTRAL DERMATOLOGY PLLC
NPI 1780977579
Specialist in Elmhurst, NY
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 holds a CLIA Certificate of Compliance certificate valid through June 25, 2027 and lists Michael Berry, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
City Central Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to City Central Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is City Central Dermatology PLLC enrolled in Medicare?
Yes. City Central Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through City Central Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to City Central Dermatology PLLC. 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.
Does City Central Dermatology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D2087507) is associated with this NPI, valid through June 25, 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 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.
# City Central Dermatology Pllc · NPI 1780977579
Specialist organization in Elmhurst, New York. Organization record, active in the CMS NPPES registry since May 26, 2011.
## Identity
- **NPI:** 1780977579 (Entity type: Organization)
- **Enumerated:** May 26, 2011
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Michael Berry, MD
## Practice location
- **Address:** 40-37 74 STREET, Elmhurst, NY 11323
- **Phone:** (718) 651-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780977579) · Data from the CMS NPPES public registry.