EIDELMAN DERMATOLOGY PLLC
NPI 1891939575
Dermatology in New York, NY

Active since April 27, 2009
245 W 19TH ST, GROUND FL, NEW YORK, NY 10011(212) 675-0549(212) 675-0540 Get Directions Write a Review

NPPES record last updated: March 14, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eidelman Dermatology Pllc NPPES

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

EIDELMAN DERMATOLOGY PLLC (NPI 1891939575) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since April 2009. The organization lists Michael E Eidelman, Owner, as its authorized official.

NPPES Registry Identity

NPI1891939575
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEIDELMAN DERMATOLOGY PLLC
Location Address245 W 19TH ST, GROUND FLNew York, NY 10011
Mailing Address245 W 19th St, Ground FlNew York, NY 10011 · (212) 675-0549 · Fax (212) 675-0540
Fax(212) 675-0540
Organization SubpartNo
Authorized OfficialMichael E EidelmanOwner · (212) 675-0549
Enumeration DateApril 27, 2009
Last NPPES UpdateMarch 14, 2011
✔ NPI 1891939575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 209980
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.
245 W 19TH ST, New York, NY 10011

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eidelman Dermatology Pllc 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 Eidelman Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1194016212
550 1ST AVE
New York, NY 10016
(212) 263-5506
✔ PECOS✔ Accepts Medicare0.6 mi
Dermatology
NPI 1689656654
245 W 19TH ST GROUND FL
New York, NY 10011
(212) 675-0549
✔ PECOS✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eidelman Dermatology PLLC's NPI number?

The NPI number for Eidelman Dermatology PLLC is 1891939575. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Eidelman Dermatology PLLC located?

Eidelman Dermatology PLLC is located at 245 W 19th St Ground Fl, New York, NY 10011. The listed phone number is (212) 675-0549.

What is Eidelman Dermatology PLLC's specialty?

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

Is Eidelman Dermatology PLLC enrolled in Medicare?

Yes. Eidelman Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eidelman Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Eidelman Dermatology PLLC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eidelman Dermatology PLLC was last updated on March 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.