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GATEWAY DERMATOLOGY, P.C.
NPI 1851599047
Clinic/Center - Medical Specialty in Glens Falls, NY

Active since July 10, 2007CLIA 33D2232865 · Waiver
1 S WESTERN AVE, GLENS FALLS, NY 12801(518) 745-5280(518) 745-5284 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gateway Dermatology, P.c. NPPES

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

GATEWAY DERMATOLOGY, P.C. (NPI 1851599047) is a healthcare organization registered as a medical specialty in Glens Falls, New York and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Stephen C Verral, President, as its authorized official.

NPPES Registry Identity

NPI1851599047
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameGATEWAY DERMATOLOGY, P.C.
Location Address1 S WESTERN AVEGlens Falls, NY 12801-3304
Mailing Address1 S Western AveGlens Falls, NY 12801-3304 · (518) 745-5280 · Fax (518) 745-5284
Phone(518) 745-5280
Fax(518) 745-5284
Organization SubpartNo
Authorized OfficialStephen C VerralPresident · (518) 745-5280
Enumeration DateJuly 10, 2007
Last NPPES UpdateMarch 14, 2012
✔ NPI 1851599047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NY · 243122
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1 S WESTERN AVE, Glens Falls, NY 12801
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gateway Dermatology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gateway Dermatology, P.C., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Stephen Verral, D.O.
Dermatology
NPI 1821119124
1 S WESTERN AVE
Glens Falls, NY 12801
(518) 745-5280
✔ PECOS✔ Accepts Medicare0.1 mi
Alexander Nelson, FNP-BC
Nurse Practitioner
NPI 1003547811
4 CONGRESS PLAZA
Saratoga Springs, NY 12866
(518) 450-4594
✔ PECOS✔ Accepts Medicare17 mi

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 Waiver 33D2232865

Gateway Dermatology PC · Glens Falls, NY
Active · expires Aug 17, 2027
CLIA Number33D2232865
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorDr. Stephen C. Verral
Laboratory Phone(518) 745-5280
Laboratory LocationGateway Dermatology PC1 South Western Ave, Glens Falls, NY 12801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gateway Dermatology, P.C.'s NPI number?

The NPI number for Gateway Dermatology, P.C. is 1851599047. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Gateway Dermatology, P.C. located?

Gateway Dermatology, P.C. is located at 1 S Western Ave, Glens Falls, NY 12801. The listed phone number is (518) 745-5280.

What is Gateway Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Gateway Dermatology, P.C. enrolled in Medicare?

Yes. Gateway Dermatology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gateway Dermatology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gateway Dermatology, P.C., in Dermatology and Nurse Practitioner. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gateway Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2232865) is associated with this NPI, valid through August 17, 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 Gateway Dermatology, P.C. was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.