NEW YORK DERMATOLOGY & SKIN CANCER CENTER
NPI 1962655738
Dermatology in Hampton Bays, NY
About New York Dermatology & Skin Cancer Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK DERMATOLOGY & SKIN CANCER CENTER (NPI 1962655738) is a healthcare organization registered as a dermatology in Hampton Bays, New York and active in the NPI registry since October 2008. The organization holds a CLIA Certificate of Compliance certificate valid through May 27, 2027 and lists Donna April Serure, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New York Dermatology & Skin Cancer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to New York Dermatology & Skin Cancer Center, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Boston, MA 02111
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 33D1090795
New York Dermatology & Mohs Surgery Group PLLC · Hampton Bays, NYFrequently 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 New York Dermatology & Mohs Surgery Group, PLLC's NPI number?
The NPI number for New York Dermatology & Mohs Surgery Group, PLLC is 1962655738. It was assigned to this organization in the NPPES registry on October 24, 2008. The provider is also known as New York Dermatology & Skin Cancer Center.
Where is New York Dermatology & Mohs Surgery Group, PLLC located?
New York Dermatology & Mohs Surgery Group, PLLC is located at 225 W Montauk Hwy Suite 3, Hampton Bays, NY 11946. The listed phone number is (631) 728-7288.
What is New York Dermatology & Mohs Surgery Group, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is New York Dermatology & Mohs Surgery Group, PLLC enrolled in Medicare?
Yes. New York Dermatology & Mohs Surgery Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New York Dermatology & Mohs Surgery Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to New York Dermatology & Mohs Surgery Group, PLLC. 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. The largest specialties are Dermatology (12) and Micrographic Dermatologic Surgery (MDS) (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does New York Dermatology & Mohs Surgery Group, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D1090795) is associated with this NPI, valid through May 27, 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 New York Dermatology & Mohs Surgery Group, PLLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# New York Dermatology & Skin Cancer Center · NPI 1962655738
Dermatology organization in Hampton Bays, New York. Organization record, active in the CMS NPPES registry since October 24, 2008.
## Identity
- **NPI:** 1962655738 (Entity type: Organization)
- **Enumerated:** October 24, 2008
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** New York Dermatology & Mohs Surgery Group, Pllc
- **Organization subpart:** No
- **Authorized official:** Donna Serure, PARTNER
## Practice location
- **Address:** 225 W MONTAUK HWY, SUITE 3, Hampton Bays, NY 11946-3531
- **Phone:** (631) 728-7288 · **Fax:** (631) 728-4010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (12), Micrographic Dermatologic Surgery (MDS) (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 222859 (NY); Other 205536 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962655738) · Data from the CMS NPPES public registry.