ADVANCED DERMATOLOGY PC (NPI# 1134201460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134201460 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY PC |
| Practice Address |
6 Lowell Ave New Hyde Park NY 11040 |
| Practice Telephone | 5163264160 |
| Practice Fax Number | 5164370482 |
| Mailing Telephone | 5163264160 |
| Mailing Fax Number | 5164370482 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-10-30 |
| Authorized Official Name | LEWIS LIPPNER (ADMINISTRATOR) |
| Authorized Official Telephone | 5163264160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760658033 | Advanced Dermatology PC | Dermatology | 165 Roslyn Rd, Roslyn Heights, NY 11577-1315 | 2008-05-06 |
| 1821264193 | Advanced Dermatology PC | Dermatology | 160 Commack Rd, Commack, NY 11725-3412 | 2008-05-06 |
| 1043486319 | Advanced Dermatology PC | Dermatology | 510 Montauk Hwy, West Islip, NY 11795-4422 | 2008-05-06 |
| 1497921795 | Advanced Dermatology PC | Dermatology | 130 W 86th St, New York, NY 10024-4040 | 2008-05-06 |
| 1790951069 | Advanced Dermatology PC | Dermatology | 2500 Nesconset Hwy, Bldg 10, Stony Brook, NY 11790-2555 | 2008-05-06 |
| Street Address |
6 LOWELL AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306850730 | Eleanor Jane Barone | Plastic Surgery | 6 Lowell Ave, New Hyde Park, NY 11040-2810 | 2006-07-29 |
| 1457796138 | Jacqueline Andrews | Physician Assistant | 6 Lowell Ave, New Hyde Park, NY 11040-2810 | 2013-05-08 |
| 1700229283 | Richard Lawrence Torbeck IIi | Dermatology | 6 Lowell Ave, New Hyde Park, NY 11040-2810 | 2013-04-15 |
| 1720374507 | Sonoa Ho Yee Au | Internal Medicine | 6 Lowell Ave, New Hyde Park, NY 11040-2810 | 2011-06-21 |
| 1467658567 | Whitney Paige Bowe | Student in an Organized Health Care Education/Training Program | 6 Lowell Ave, New Hyde Park, NY 11040-2810 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407122674 | Jacqueline Yaa Owusua Minasso | Dermatology | 1991 Marcus Ave Suite 300, New Hyde Park, NY 11042-2123 | 2012-03-31 |
| 1902337298 | Anna Marie Sonstegard | Dermatology | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2017-03-27 |
| 1881058634 | Reshmi Kapoor | Dermatology | 1991 Marcus Ave Ste 300, New Hyde Park, NY 11042-2058 | 2016-04-07 |
| 1912362260 | Northwell Dermatology | Dermatology | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2015-12-30 |
| 1962897595 | Jacob Berman | Dermatology | 1991 Marcus Ave, Suite 300, New Hyde Park, NY 11042-2057 | 2015-03-31 |
| 1477999886 | Shelly Rivas | Dermatology | 1991 Marcus Ave Ste 300, New Hyde Park, NY 11042-2058 | 2013-05-13 |
| 1750693404 | Nika Finelt | Dermatology | 1991 Marcus Ave, Suite 300, New Hyde Park, NY 11042-2057 | 2010-07-10 |
| 1912105958 | Victoria Sharon | Dermatology | 1991 Marcus Ave, Suite 300, New Hyde Park, NY 11042-2057 | 2007-07-10 |
| 1568563567 | Mimi G Bansal X | Dermatology | 2001 Marcus Ave, Suite N218, New Hyde Park, NY 11042-1011 | 2006-09-25 |
| 1265461537 | Norma Jeanette Montiel | Dermatology | 3 Delaware Dr, 4 Proheath Plaza, New Hyde Park, NY 11042-1116 | 2006-06-30 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.