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GREAT NECK DERMATOLOGY, P.C.
NPI 1922054980
Specialist in Great Neck, NY

Active since May 25, 2006
233 E SHORE RD, SUITE 102, GREAT NECK, NY 11023(516) 773-4500 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Neck Dermatology, P.c. NPPES

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

GREAT NECK DERMATOLOGY, P.C. (NPI 1922054980) is a healthcare organization registered as a specialist in Great Neck, New York and active in the NPI registry since May 2006. The organization lists Barbara Kaczor, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922054980
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGREAT NECK DERMATOLOGY, P.C.
Location Address233 E SHORE RD, SUITE 102Great Neck, NY 11023-2433
Mailing Address233 E Shore Rd, Suite 102Great Neck, NY 11023-2433 · (516) 773-4500
Phone(516) 773-4500
Organization SubpartNo
Authorized OfficialBarbara KaczorOffice Manager · (516) 773-4500
Enumeration DateMay 25, 2006
Last NPPES UpdateJanuary 6, 2015
✔ NPI 1922054980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 103820
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.
233 E SHORE RD, Great Neck, NY 11023
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Other Identifiers 2

Medicare PINW32701NY
Medicare PINC13158NY

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 20

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

BRADLEY M FISCHMAN
Durable Medical Equipment & Medical Supplies (Customized Equipment)
233 E SHORE RD, SUITE 110
GREAT NECK, NY 11023
Nassau County (516) 482-5924
DR. HOWARD RATTNER MD
Internal Medicine (Gastroenterology)
233 E SHORE RD, STE 101
GREAT NECK, NY 11023
Nassau County (516) 427-2444
DR. ALAN SLOYER MD
Internal Medicine (Gastroenterology)
233 E SHORE RD, STE 101
GREAT NECK, NY 11023
Nassau County (516) 487-2444
DR. JEFFREY M. WOLF M.D.
Internal Medicine (Pulmonary Disease)
233 E SHORE RD, #112
GREAT NECK, NY 11023
Nassau County (516) 482-7810
DR. DEMETRIOS TSIOKOS DDS
Dentist (Periodontics)
233 E SHORE RD, SUITE 108
GREAT NECK, NY 11023
Nassau County (516) 487-8240
DR. JONATHAN M. WAXNER M.D.
Internal Medicine (Pulmonary Disease)
233 E SHORE RD, #112
GREAT NECK, NY 11023
Nassau County (516) 482-7810
DR. GARY W. FREEBERG M.D.
Internal Medicine (Pulmonary Disease)
233 E SHORE RD, #112
GREAT NECK, NY 11023
Nassau County (516) 482-7810
DR. EVAN S. SORETT M.D.
Internal Medicine (Pulmonary Disease)
233 E SHORE RD, #112
GREAT NECK, NY 11023
Nassau County (516) 482-7810

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 Great Neck Dermatology, P.C.'s NPI number?

The NPI number for Great Neck Dermatology, P.C. is 1922054980. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Great Neck Dermatology, P.C. located?

Great Neck Dermatology, P.C. is located at 233 E Shore Rd Suite 102, Great Neck, NY 11023. The listed phone number is (516) 773-4500.

What is Great Neck Dermatology, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Great Neck Dermatology, P.C. was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.