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ELEVATE DERMATOLOGY, P.C.
NPI 1932880788
Dermatology in Commack, NY

Active since July 25, 2023CLIA 33D2295405 · Waiver
66 COMMACK RD STE 200, COMMACK, NY 11725(631) 481-7470(631) 623-1623 Get Directions Write a Review

NPPES record last updated: November 19, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 19, 2023, Jul 25, 2023 (2 updates tracked since 2023).

About Elevate Dermatology, P.c. NPPES

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

ELEVATE DERMATOLOGY, P.C. (NPI 1932880788) is a healthcare organization registered as a dermatology in Commack, New York and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Tamara Koss, President, as its authorized official.

NPPES Registry Identity

NPI1932880788
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameELEVATE DERMATOLOGY, P.C.
Location Address66 COMMACK RD STE 200Commack, NY 11725-3405
Mailing Address66 Commack Rd Ste 200Commack, NY 11725-3405 · (631) 481-7470
Phone(631) 481-7470
Fax(631) 623-1623
Organization SubpartNo
Authorized OfficialTamara KossPresident · (917) 575-5306
Enumeration DateJuly 25, 2023
Last NPPES UpdateNovember 19, 20232 updates tracked since enumeration
NPPES CertifiedNovember 19, 2023
✔ NPI 1932880788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
66 COMMACK RD STE 200, Commack, NY 11725
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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 Waiver 33D2295405

Elevate Dermatology, PC · Commack, NY
Active · expires Dec 11, 2027
CLIA Number33D2295405
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDr. Tamara Koss
Laboratory Phone(631) 481-7470
Laboratory LocationElevate Dermatology, PC66 Commack Road, Suite 200, Commack, NY 11725
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elevate Dermatology, P.C.'s NPI number?

The NPI number for Elevate Dermatology, P.C. is 1932880788. It was assigned to this organization in the NPPES registry on July 25, 2023.

Where is Elevate Dermatology, P.C. located?

Elevate Dermatology, P.C. is located at 66 Commack Rd Ste 200, Commack, NY 11725. The listed phone number is (631) 481-7470.

What is Elevate Dermatology, P.C.'s specialty?

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

Does Elevate Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2295405) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elevate Dermatology, P.C. was last updated on November 19, 2023. 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.