RADIANT SKIN DERMATOLOGY AND LASER,PLLC
NPI 1861738460
Dermatology in New York, NY

Active since December 31, 2012
207 W 115TH ST LOWR LEVEL, NEW YORK, NY 10026(212) 229-0007(347) 274-8349 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Radiant Skin Dermatology And Laser,pllc NPPES

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

RADIANT SKIN DERMATOLOGY AND LASER,PLLC (NPI 1861738460) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since December 2012. The organization lists Adebola Olufunmi Dele-michael, Owner, as its authorized official.

NPPES Registry Identity

NPI1861738460
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRADIANT SKIN DERMATOLOGY AND LASER,PLLC
Location Address207 W 115TH ST LOWR LEVELNew York, NY 10026-2965
Mailing Address234 Central Park WNew York, NY 10024-6003 · (212) 229-0007 · Fax (212) 202-6350
Fax(347) 274-8349
Organization SubpartNo
Authorized OfficialAdebola Olufunmi Dele-michaelOwner · (212) 229-0007
Enumeration DateDecember 31, 2012
Last NPPES UpdateMarch 4, 2024
NPPES CertifiedMarch 4, 2024
NPI 1861738460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 256265
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.
207 W 115TH ST LOWR LEVEL, New York, NY 10026

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

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Cardiovascular Disease)
207 W 115TH ST LOWR LEVEL
NEW YORK, NY 10026
Internal Medicine (Cardiovascular Disease)
207 W 115TH ST LOWR LEVEL
NEW YORK, NY 10026

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 Radiant Skin Dermatology And Laser,pllc's NPI number?

The NPI number for Radiant Skin Dermatology And Laser,pllc is 1861738460. It was assigned to this organization in the NPPES registry on December 31, 2012.

Where is Radiant Skin Dermatology And Laser,pllc located?

Radiant Skin Dermatology And Laser,pllc is located at 207 W 115th St Lowr Level, New York, NY 10026. The listed phone number is (212) 229-0007.

What is Radiant Skin Dermatology And Laser,pllc's specialty?

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

When was this NPI record last updated?

The NPPES record for Radiant Skin Dermatology And Laser,pllc was last updated on March 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.