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NEW YORK DERMATOLOGY, PC
NPI 1881879773
Specialist in Bayside, NY

Active since January 09, 2008CLIA 33D0975603 · Certificate of Compliance
2383 BELL BLVD, BAYSIDE, NY 11360(718) 423-0200(718) 423-3134 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New York Dermatology, Pc NPPES

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

NEW YORK DERMATOLOGY, PC (NPI 1881879773) is a healthcare organization registered as a specialist in Bayside, New York and active in the NPI registry since January 2008. The organization holds a CLIA Certificate of Compliance certificate valid through January 14, 2027 and lists Jordan Spence Zuckerman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1881879773
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEW YORK DERMATOLOGY, PC
Location Address2383 BELL BLVDBayside, NY 11360-2053
Mailing Address2383 Bell BlvdBayside, NY 11360-2053 · (718) 423-0200 · Fax (718) 423-3134
Phone(718) 423-0200
Fax(718) 423-3134
Organization SubpartNo
Authorized OfficialJordan Spence ZuckermanMedical Director · (718) 423-0200
Enumeration DateJanuary 9, 2008
Last NPPES UpdateMarch 11, 2008
✔ NPI 1881879773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 168660
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2383 BELL BLVD, Bayside, NY 11360
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN01032NY

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

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 33D0975603

New York Dermatology PC · Bayside, NY
Active · expires Jan 14, 2027
CLIA Number33D0975603
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorDr. Xuan Wang
Laboratory Phone(718) 423-0200
Laboratory LocationNew York Dermatology PC23-83 Bell Boulevard, Bayside, NY 11360
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 5

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

DR. JORDAN SPENCE ZUCKERMAN M.D.
Dermatology (Procedural Dermatology)
2383 BELL BLVD, UPPER LEVEL
BAYSIDE, NY 11360
Queens County (718) 423-0200
DR. JANNA GEFTER DPM
Podiatrist (Foot Surgery)
2383 BELL BLVD
BAYSIDE, NY 11360
Queens County (718) 423-3535
NEIL BLATT
Podiatrist
2383 BELL BLVD
BAYSIDE, NY 11360
Queens County (718) 423-3535
MS. PHOEBE C. TAM PA
Physician Assistant
2383 BELL BLVD
BAYSIDE, NY 11360
Queens County (718) 423-0200
ABSOLUTE PODIATRY OF NY, PC
Podiatrist
2383 BELL BLVD
BAYSIDE, NY 11360
Queens County (718) 423-3535

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 New York Dermatology, PC's NPI number?

The NPI number for New York Dermatology, PC is 1881879773. It was assigned to this organization in the NPPES registry on January 9, 2008.

Where is New York Dermatology, PC located?

New York Dermatology, PC is located at 2383 Bell Blvd, Bayside, NY 11360. The listed phone number is (718) 423-0200.

What is New York Dermatology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does New York Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0975603) is associated with this NPI, valid through January 14, 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 New York Dermatology, PC was last updated on March 11, 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.