ANEW DERMATOLOGY
NPI 1992215180
Dermatology - MOHS-Micrographic Surgery in Johnson City, NY

Active since October 03, 2017
302 REYNOLDS RD STE A, JOHNSON CITY, NY 13790(607) 444-5446 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2024, Oct 20, 2022, May 8, 2021 and 1 more (4 updates tracked since 2021).

About Anew Dermatology NPPES

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

ANEW DERMATOLOGY (NPI 1992215180) is a healthcare organization registered as a mohs-micrographic surgery in Johnson City, New York and active in the NPI registry since October 2017. The organization lists Robert George Egbers, Member, as its authorized official.

NPPES Registry Identity

NPI1992215180
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameNEW SEASON DERMATOLOGY, PLLC
Location Address302 REYNOLDS RD STE AJohnson City, NY 13790-1308
Mailing Address302 Reynolds RdJohnson City, NY 13790-1308 · (607) 444-5446 · Fax (607) 444-5447
Organization SubpartNo
Authorized OfficialRobert George EgbersMember · (607) 444-5446
Enumeration DateOctober 3, 2017
Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1992215180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in NY · 288727
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
302 REYNOLDS RD STE A, Johnson City, NY 13790

Other Names 1

Doing Business AsAnew Dermatology

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 Compliance 33D2139435

New Season Dermatology PLLC Anew Dermatology · Johnson City, NY
Expired · Jul 31, 2026
CLIA Number33D2139435
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Robert G. Egbers
Laboratory Phone(607) 444-5446
Laboratory LocationNew Season Dermatology PLLC Anew Dermatology302 Reynolds Rd, Suite A, Johnson City, NY 13790
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.

Other Providers at the Same Location NPPES 2

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

Dermatology (MOHS-Micrographic Surgery)
302 REYNOLDS RD STE A
JOHNSON CITY, NY 13790
Physician Assistant
302 REYNOLDS RD STE A
JOHNSON CITY, NY 13790

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 New Season Dermatology, PLLC's NPI number?

The NPI number for New Season Dermatology, PLLC is 1992215180. It was assigned to this organization in the NPPES registry on October 3, 2017. The provider is doing business as Anew Dermatology.

Where is New Season Dermatology, PLLC located?

New Season Dermatology, PLLC is located at 302 Reynolds Rd Ste A, Johnson City, NY 13790. The listed phone number is (607) 444-5446.

What is New Season Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for New Season Dermatology, PLLC was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.