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BB MEDICAL AND DERMATOLOGY
NPI 1790210516
Dermatology - MOHS-Micrographic Surgery in New York, NY

Active since April 30, 2017
515 MADISON AVE, 6TH FLOOR, NEW YORK, NY 10022(415) 802-1310 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 1, 2021, Sep 11, 2020, Jun 16, 2018 and 4 more (7 updates tracked since 2017).

About Bb Medical And Dermatology NPPES

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

BB MEDICAL AND DERMATOLOGY (NPI 1790210516) is a healthcare organization registered as a mohs-micrographic surgery in New York, New York and active in the NPI registry since April 2017. The organization maintains a secondary practice location in New York and lists Brooke Bair, President, as its authorized official.

NPPES Registry Identity

NPI1790210516
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBB MEDICAL AND DERMATOLOGY INC
Location Address515 MADISON AVE, 6TH FLOORNew York, NY 10022-5403
Mailing Address515 Madison Ave, 6th FloorNew York, NY 10022-5403 · (415) 802-1310
Phone(415) 802-1310
Organization SubpartNo
Authorized OfficialBrooke BairPresident · (415) 802-1310
Enumeration DateApril 30, 2017
Last NPPES UpdateJuly 1, 20217 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1790210516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NY · 273364-1
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
515 MADISON AVE, New York, NY 10022
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Other Names 2

Doing Business AsBb Medical And Dermatology
Doing Business AsLuna Dermatology

Secondary Practice Location 1

Location 1515 Madison Ave Fl 6New York, NY 10022-5403 · Phone (415) 802-1310

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)

Bb Medical And Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bb Medical And Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Marina Matatova, D.O.
Dermatology
NPI 1881977304
4037 74TH ST
Elmhurst, NY 11373
(718) 651-7000
✔ PECOS✔ Accepts Medicare4.5 mi
Michael Jacobson, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1649352964
1051 LONG RIDGE RD
Stamford, CT 06903
(203) 329-7960
✔ PECOS✔ Accepts Medicare32 mi
Jack Cossman, MD
Dermatology
NPI 1912318304
20 YORK ST YALE NEW HAVEN HOSPITAL
New Haven, CT 06510
(203) 688-4242
✔ PECOS✔ Accepts Medicare66 mi
Brooke Bair, DO
Dermatology
NPI 1134262736
216 RTE 32 N
New Paltz, NY 12561
(845) 419-5039
✔ PECOS✔ Accepts Medicare70 mi

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 Bb Medical And Dermatology Inc's NPI number?

The NPI number for Bb Medical And Dermatology Inc is 1790210516. It was assigned to this organization in the NPPES registry on April 30, 2017. The provider is doing business as Bb Medical And Dermatology and LUNA Dermatology.

Where is Bb Medical And Dermatology Inc located?

Bb Medical And Dermatology Inc is located at 515 Madison Ave 6th Floor, New York, NY 10022. The listed phone number is (415) 802-1310.

What is Bb Medical And Dermatology Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Bb Medical And Dermatology Inc enrolled in Medicare?

Yes. Bb Medical And Dermatology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bb Medical And Dermatology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Bb Medical And Dermatology Inc. 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. The largest specialties are Dermatology (3) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bb Medical And Dermatology Inc was last updated on July 1, 2021. 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.