1. Home
  2. Directory
  3. New York
  4. Stony Brook
  5. Dermatology
  6. NPI Profile

ADVANCED DERMATOLOGY PC
NPI 1790951069
Dermatology in Stony Brook, NY

Active since May 06, 2008CLIA 33D1001930 · Certificate of Compliance
2500 NESCONSET HWY, BLDG 10, STONY BROOK, NY 11790(631) 689-3188(631) 751-6644 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dermatology Pc NPPES

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

ADVANCED DERMATOLOGY PC (NPI 1790951069) is a healthcare organization registered as a dermatology in Stony Brook, New York and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through December 9, 2026 and lists Lewis Lippner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790951069
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY PC
Location Address2500 NESCONSET HWY, BLDG 10Stony Brook, NY 11790-2555
Mailing Address6 Lowell AveNew Hyde Park, NY 11040-2810 · (516) 326-4160 · Fax (516) 437-0482
Phone(631) 689-3188
Fax(631) 751-6644
Organization SubpartNo
Authorized OfficialLewis LippnerAdministrator · (516) 326-4160
Enumeration DateMay 6, 2008
✔ NPI 1790951069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedPlastic SurgeryTaxonomy 208200000X
2500 NESCONSET HWY, Stony Brook, NY 11790
Open in Google Maps ↗

Other Identifiers 1

Medicare PINWQ0981NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 33D1001930

Advanced Dermatology PC · East Setauket, NY
Active · expires Dec 9, 2026
CLIA Number33D1001930
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorDr. Aton M. Holzer
Laboratory Phone(631) 689-3188
Laboratory LocationAdvanced Dermatology PC4 Technology Drive, Suite 180, East Setauket, NY 11733
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES ROBERT GRAZIANO D.C.
Chiropractor
2500 NESCONSET HWY, BUILDING 12A
STONY BROOK, NY 11790
Suffolk County (631) 877-1789
DR. MYRON DRAZEN PHD
Psychologist (Clinical)
2500 NESCONSET HWY, BLDG 5D
STONYBROOK, NY 11790
Suffolk County (631) 689-7979
SUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC
Psychiatry & Neurology (Neurology)
2500 NESCONSET HWY, SUITE 16A
STONY BROOK, NY 11790
Suffolk County (631) 246-5454
MICHAEL SCOTT WEBER RPA-C
Physician Assistant (Medical)
2500 NESCONSET HWY, BUILDING 7D
STONY BROOK, NY 11790
Suffolk County (631) 751-3322
SCOTT BERMAN MD
Obstetrics & Gynecology
2500 NESCONSET HWY, BUILDING 12 SUITE 45
STONY BROOK, NY 11790
Suffolk County (631) 675-9010
JACQUELYN ANN FABER DPT
Physical Therapist
2500 NESCONSET HWY
STONY BROOK, NY 11790
Suffolk County (631) 751-7988
NORTH ISLAND HEMATOLOGY ONCOLOGY
Internal Medicine (Hematology & Oncology)
2500 NESCONSET HWY, BLDG 26B
STONY BROOK, NY 11790
Suffolk County (631) 751-8305
DR. SHAFI WANI M.D.
Specialist
2500 NESCONSET HWY, BLDG 15H
STONY BROOK, NY 11790
Suffolk County (631) 689-3005

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 Advanced Dermatology PC's NPI number?

The NPI number for Advanced Dermatology PC is 1790951069. It was assigned to this organization in the NPPES registry on May 6, 2008.

Where is Advanced Dermatology PC located?

Advanced Dermatology PC is located at 2500 Nesconset Hwy Bldg 10, Stony Brook, NY 11790. The listed phone number is (631) 689-3188.

What is Advanced Dermatology PC's specialty?

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

Does Advanced Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1001930) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Dermatology PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Advanced Dermatology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology PC was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.