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

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

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

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: October 25, 2026.

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

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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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Medical & Cosmetic Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Long Island Medical & Cosmetic Dermatology, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Daniel Sherer, M.D.

Dermatology

NPI 1477548261

755 PARK AVE SUITE 500
Huntington, NY 11743

(631) 271-2769

✔ PECOS✔ Accepts MedicareSame address

Todd Coven, M.D.

Micrographic Dermatologic Surgery (MDS)

NPI 1215943121

180 E PULASKI RD
Huntington Station, NY 11746

(631) 425-2121

✔ PECOS✔ Accepts Medicare0.5 mi

Xuan Wang, M.D. PH.D.

Pathology

NPI 1578706032

80 CROSSWAYS PARK DR STE 100
Woodbury, NY 11797

(516) 944-3882

✔ PECOS✔ Accepts Medicare5.8 mi

Khawaja Hassan, M.D.

Plastic and Reconstructive Surgery

NPI 1639265416

36 LINCOLN AVE
Rockville Centre, NY 11570

(516) 678-4451

✔ PECOS✔ Accepts Medicare19 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 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.

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.

Is Long Island Medical & Cosmetic Dermatology, PC enrolled in Medicare?

Yes. Long Island Medical & Cosmetic Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Medical & Cosmetic Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Long Island Medical & Cosmetic Dermatology, PC, in Dermatology, Micrographic Dermatologic Surgery (MDS), Pathology and Plastic and Reconstructive Surgery. 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 at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 2 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.