ATLANTIC DERMATOLOGIC ASSOCIATES, LLP
NPI 1922274182
Specialist in Brooklyn, NY
- Organization
- Specialist
- CLIA Number: 33D0147899
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-12-2027
About ATLANTIC DERMATOLOGIC ASSOCIATES, LLP
This page provides the complete NPI Profile along with additional information for Atlantic Dermatologic Associates, Llp, a provider established in Brooklyn, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1922274182 assigned on May 2008. The practitioner's primary taxonomy code is 174400000X with license number 146498-1 (NY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Marvin Brian Tankel M.d. (Partner)
- NPI
- 1922274182 Verify this NPI
- Provider Name
- ATLANTIC DERMATOLOGIC ASSOCIATES, LLP
- Entity Type
- Organization
- Location Address
- 2270 KIMBALL ST SUITE 201 BROOKLYN, NY 11234
- Location Phone
- (718) 253-4550
- Location Fax
- (718) 253-6430
- Mailing Address
- 444 MERRICK RD STE LL2 LYNBROOK, NY 11563
- Mailing Phone
- (516) 599-4242
- Mailing Fax
- (516) 599-4449
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2008
- Last Update Date
- 05-07-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 146498-1
- License State
- NY
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0147899
- Facility Type
- Physician Office
- Certificate Effective Date
- January 13, 2025
- Certificate Expiration Date
- January 12, 2027
- Laboratory Director
- DR. STEVEN I. SIMON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Atlantic Dermatologic Associates, Llp after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
BROOKLYN, NY 11234
BROOKLYN, NY 11234
BROOKLYN, NY 11234
BROOKLYN, NY 11234
BROOKLYN, NY 11234
BROOKLYN, NY 11234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922274182, enumerated as an "organization" on May 07, 2008.
The provider is located at 2270 KIMBALL ST SUITE 201 BROOKLYN, NY 11234 and the phone number is (718) 253-4550.
Specialist with taxonomy code 174400000X.
