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LONG ISLAND MEDICAL & COSMETIC DERMATOLOGY, PC
NPI 1922017797
Specialist in Huntington, NY

Active since August 07, 2006CLIA 33D1105108 · Certificate of Compliance
755 PARK AVE, SUITE 500, HUNTINGTON, NY 11743(631) 271-2769(631) 271-1730 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2024, Apr 25, 2024 (2 updates tracked since 2024).

About Long Island Medical & Cosmetic Dermatology, Pc NPPES

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

LONG ISLAND MEDICAL & COSMETIC DERMATOLOGY, PC (NPI 1922017797) is a healthcare organization registered as a specialist in Huntington, New York and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 24, 2028, maintains a secondary practice location in Hicksville, and lists Daniel Warren Sherer, Physician, as its authorized official.

NPPES Registry Identity

NPI1922017797
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLONG ISLAND MEDICAL & COSMETIC DERMATOLOGY, PC
Location Address755 PARK AVE, SUITE 500Huntington, NY 11743-3975
Mailing Address755 Park Ave, Suite 500Huntington, NY 11743-3975 · (631) 271-2769 · Fax (631) 271-1730
Phone(631) 271-2769
Fax(631) 271-1730
Organization SubpartNo
Authorized OfficialDaniel Warren ShererPhysician · (631) 271-2769
Enumeration DateAugust 7, 2006
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1922017797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 2108421
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.
755 PARK AVE, Huntington, NY 11743
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 S Oyster Bay Rd Ste 200Hicksville, NY 11801-3500 · Phone (516) 433-3200 · Fax (516) 336-5381

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 33D1105108

Long Island Medical & Cosmetic Dermatology PC · Huntington, NY
Active · expires May 24, 2028
CLIA Number33D1105108
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorDr. Todd R. Coven
Laboratory Phone(631) 271-2769
Laboratory LocationLong Island Medical & Cosmetic Dermatology PC755 Park Ave, Suite 500, Huntington, NY 11743
CLIA data matches this NPI record on: Address 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 19

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

DR. JACQUELINE B RODGERS D.D.S.
Dentist (General Practice)
755 PARK AVE, SUITE 400
HUNTINGTON, NY 11743
Suffolk County (631) 271-8100
MRS. MARIE BRANNIGAN NP
Registered Nurse (Psychiatric/Mental Health)
755 PARK AVE, 160C
HUNTINGTON, NY 11743
Suffolk County (631) 427-7553
PARK AVENUE GASTROENTEROLOGY & DIGESTIVE HEALTH, PLLC
Internal Medicine (Gastroenterology)
755 PARK AVE, SUITE 200
HUNTINGTON, NY 11743
Suffolk County (631) 683-4235
DR. ELEONORA Z. KUZMA PSY.D.
Psychologist (Clinical)
755 PARK AVE, SUITE 140
HUNTINGTON, NY 11743
Suffolk County (631) 405-9334
DR. LORI ELLEN THORNHILL D.D.S.
Dentist (General Practice)
755 PARK AVE, SUITE 400
HUNTINGTON, NY 11743
Suffolk County (631) 271-8100
DR. MADELINE COHEN O.D.
Optometrist
755 PARK AVE, SUITE 100
HUNTINGTON, NY 11743
Suffolk County (631) 223-0400
SARALA K. REDDY M.D.
Psychiatry & Neurology (Psychiatry)
755 PARK AVE, SUITE 120
HUNTINGTON, NY 11743
Suffolk County (631) 784-7803
DR. CASSANDRA ANN D'ACCORDO PH.D.
Psychologist (Clinical)
755 PARK AVE, SUITE 140
HUNTINGTON, NY 11743
Suffolk County (646) 450-4540

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 Long Island Medical & Cosmetic Dermatology, PC's NPI number?

The NPI number for Long Island Medical & Cosmetic Dermatology, PC is 1922017797. It was assigned to this organization in the NPPES registry on August 7, 2006.

Where is Long Island Medical & Cosmetic Dermatology, PC located?

Long Island Medical & Cosmetic Dermatology, PC is located at 755 Park Ave Suite 500, Huntington, NY 11743. The listed phone number is (631) 271-2769.

What is Long Island Medical & Cosmetic Dermatology, PC's specialty?

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

Does Long Island Medical & Cosmetic Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1105108) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Long Island Medical & Cosmetic Dermatology, PC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.