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ADVANCED DERMATOLOGY, PLLC
NPI 1992725279
Dermatology in Kingston, NY

Active since July 20, 2006CLIA 33D0713479 · Certificate of Compliance
301 HURLEY AVE, KINGSTON, NY 12401(845) 339-2525 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Dermatology, Pllc NPPES

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

ADVANCED DERMATOLOGY, PLLC (NPI 1992725279) is a healthcare organization registered as a dermatology in Kingston, New York and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 14, 2027 and lists Kenneth T Kircher, Owner, as its authorized official.

NPPES Registry Identity

NPI1992725279
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY, PLLC
Location Address301 HURLEY AVEKingston, NY 12401-2416
Mailing Address301 Hurley AveKingston, NY 12401-2416 · (845) 339-2525
Phone(845) 339-2525
Organization SubpartNo
Authorized OfficialKenneth T KircherOwner · (845) 339-2525
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1992725279 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.
301 HURLEY AVE, Kingston, NY 12401
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Other Identifiers 1

Medicare PINWFW151NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Advanced Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

John Hassani
Dermatology
NPI 1427469493
315 GRANT AVE
Lake Katrine, NY 12449
(845) 339-2525
✔ PECOS✔ Accepts Medicare3.6 mi
Kenneth Kircher, DO
Dermatology
NPI 1417929217
2215 RT 9W
Lake Katrine, NY 12449
(845) 336-8572
✔ PECOS✔ Accepts Medicare4.9 mi
Aaron Warshawsky, M.D.
Dermatology
NPI 1346227089
2507 SOUTH RD
Poughkeepsie, NY 12601
(845) 471-3112
✔ PECOS✔ Accepts Medicare20 mi
Carly Esteves, CRNP
Nurse Practitioner
NPI 1982027835
1351 ROUTE 55, SUITE 200
Lagrangeville, NY 12540
(845) 475-9646
✔ PECOS✔ Accepts Medicare23 mi
Samuel Book, MD
Dermatology
NPI 1215928619
575 HUDSON VALLEY AVE STE 205
New Windsor, NY 12553
(845) 220-2200
✔ PECOS✔ Accepts Medicare32 mi
Remiya Kurian
Nurse Practitioner
NPI 1306675533
110 BRIDGEVILLE RD
Monticello, NY 12701
(845) 794-3030
✔ PECOS✔ Accepts Medicare37 mi
Hong Jiang, MD
Pathology
NPI 1912068420
155 CRYSTAL RUN RD
Middletown, NY 10941
(845) 703-6999
✔ PECOS✔ Accepts Medicare37 mi
Albert Alhatem, MD
Pathology
NPI 1609370097
210 WESTCHESTER AVE
White Plains, NY 10604
(914) 831-6813
✔ PECOS✔ Accepts Medicare65 mi

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 33D0713479

Advanced Dermatology PLLC · Lake Katrine, NY
Active · expires Apr 14, 2027
CLIA Number33D0713479
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorDr. Kenneth T. Kircher
Laboratory Phone(845) 339-2525
Laboratory LocationAdvanced Dermatology PLLC315 Grant Avenue, Lake Katrine, NY 12449
CLIA data matches this NPI record on: 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.

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 Advanced Dermatology, PLLC's NPI number?

The NPI number for Advanced Dermatology, PLLC is 1992725279. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Advanced Dermatology, PLLC located?

Advanced Dermatology, PLLC is located at 301 Hurley Ave, Kingston, NY 12401. The listed phone number is (845) 339-2525.

What is Advanced Dermatology, PLLC's specialty?

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

Is Advanced Dermatology, PLLC enrolled in Medicare?

Yes. Advanced Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Dermatology, 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 (4), Nurse Practitioner (2) and Pathology (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0713479) is associated with this NPI, valid through April 14, 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 Advanced Dermatology, PLLC was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.