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: July 19, 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
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

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

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.

Pain Medicine (Interventional Pain Medicine)
2500 NESCONSET HWY, BLDG 24C
STONY BROOK, NY 11790
Internal Medicine
2500 NESCONSET HWY, BLDG #16
STONY BROOK, NY 11790
Obstetrics & Gynecology
2500 NESCONSET HWY, BUILDING 12 SUITE 45
STONY BROOK, NY 11790
Chiropractor
2500 NESCONSET HWY, BUILDING 12A
STONY BROOK, NY 11790
Dentist (Oral and Maxillofacial Surgery)
2500 NESCONSET HWY, BLDG 12D
STONY BROOK, NY 11790
Family Medicine
2500 NESCONSET HWY, BLDG 7D
STONY BROOK, NY 11790
Family Medicine
2500 NESCONSET HWY, BLDG 7D
STONY BROOK, NY 11790
Family Medicine
2500 NESCONSET HWY, BLDG 7D
STONY BROOK, NY 11790

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790951069, enumerated as an "organization" on May 06, 2008.

The provider is located at 2500 NESCONSET HWY BLDG 10 STONY BROOK, NY 11790 and the phone number is (631) 689-3188.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.