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ADVANCED DERMATOLOGY PC
NPI 1821264193
Dermatology in Commack, NY

Active since May 06, 2008CLIA 33D2070442 · Certificate of Compliance
160 COMMACK RD, COMMACK, NY 11725(631) 499-1200(631) 499-4301 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dermatology Pc NPPES

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

ADVANCED DERMATOLOGY PC (NPI 1821264193) is a healthcare organization registered as a dermatology in Commack, New York and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through August 21, 2026 and lists Lewis Lippner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821264193
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY PC
Location Address160 COMMACK RDCommack, NY 11725-3412
Mailing Address6 Lowell AveNew Hyde Park, NY 11040-2810 · (516) 326-4160 · Fax (516) 437-0482
Phone(631) 499-1200
Fax(631) 499-4301
Organization SubpartNo
Authorized OfficialLewis LippnerAdministrator · (516) 326-4160
Enumeration DateMay 6, 2008
✔ NPI 1821264193 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
160 COMMACK RD, Commack, NY 11725
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Other Identifiers 1

Medicare PINW00482NY

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

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 33D2070442

Advanced Dermatology PC · Commack, NY
Active · expires Aug 21, 2026
CLIA Number33D2070442
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorAton M. Holzer
Laboratory Phone(631) 499-1200
Laboratory LocationAdvanced Dermatology PC366 Veterans Memorial Highway, Suite 8, Commack, NY 11725
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 9

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

DR. STEVEN R GREEN D.D.S.
Dentist (General Practice)
160 COMMACK RD, SUITE S1
COMMACK, NY 11725
Suffolk County (631) 499-9393
KATZ,RAMCHANDRAN,KUCHTA,PFEFFER,&HASSANKHANI,M.D.,P.C.
Specialist
160 COMMACK RD, LL1
COMMACK, NY 11725
Suffolk County (631) 499-4233
DR. DAVID M MILLER D.D.S
Dentist (Oral and Maxillofacial Surgery)
160 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 499-7266
DEBORAH GAZZILLO D.D.S.
Dentist
160 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 499-9393
DR. PAUL L GLASSER D.D.S.
Dentist (General Practice)
160 COMMACK RD, SUITE S1
COMMACK, NY 11725
Suffolk County (631) 499-9393
STUART BARRY POLISNER MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
160 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 499-6699
COMMACK ORAL AND MAXILLOFACIAL SURGEONS PC
Dentist (Oral and Maxillofacial Surgery)
160 COMMACK RD, SUITE M1
COMMACK, NY 11725
Suffolk County (631) 499-7266
DR. RALPH ROBERT BERARDI DDS
Dentist (General Practice)
160 COMMACK RD, M-4
COMMACK, NY 11725
Suffolk County (631) 499-6999

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 1821264193. 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 160 Commack Rd, Commack, NY 11725. The listed phone number is (631) 499-1200.

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 33D2070442) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.