ADVANCED DERMATOLOGY CARE PC (NPI# 1255497269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255497269 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY CARE PC |
| Practice Address |
2318 31st St Suite 320 Astoria NY 11105-2892 |
| Practice Telephone | 7187289822 |
| Practice Fax Number | 7187282004 |
| Mailing Telephone | 7187289822 |
| Mailing Fax Number | 7187282004 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | ALEXANDER NICOLAIDES (PRESIDENT) |
| Authorized Official Telephone | 7187289822 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
212075 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2318 31ST ST SUITE 320 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11105-2892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104494 | Nicholas Roditis | Internal Medicine | 2318 31st St, Astoria, NY 11105-2892 | 2005-06-20 |
| 1376988154 | Angela Cusumano | Physician Assistant | 2318 31st St, Suite 320, Astoria, NY 11105-2765 | 2013-05-07 |
| 1184934705 | Efstratia Rabinowitz | Physician Assistant | 2318 31st St, 318, Astoria, NY 11105-2892 | 2010-10-16 |
| 1992029755 | Usha Tulsiani | Pharmacist | 2318 31st St, Olympia Chemist, Astoria, NY 11105-2892 | 2010-03-23 |
| 1679710115 | Arikostadaras,m.d.,p.c. | Specialist | 2318 31st St, Suite 220, Astoria, NY 11105-2892 | 2009-01-20 |
| 1053578815 | Somnia Medical, P.C. | Specialist | 2318 31st St, Suite 300, Astoria, NY 11105-2892 | 2008-05-20 |
| 1720131949 | Olympia Chemist Inc. | Pharmacy | 2318 31st St, Astoria, NY 11105-2892 | 2007-01-19 |
| 1801943345 | Ami J Shah | Obstetrics & Gynecology | 2318 31st St, Ste. 100, Astoria, NY 11105-2892 | 2007-01-05 |
| 1770654485 | Coastal Anesthesia, P.C. | Anesthesiology | 2318 31st St, Suite 300, Astoria, NY 11105-2892 | 2006-11-13 |
| 1023104023 | Alexander Nicolaides | Dermatology | 2318 31st St, Suite 320, Astoria, NY 11105-2892 | 2006-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1487154597 | Five Star Assessment Corp | Specialist/Technologist | 2135 47 Street, Suite 2, Astoria, NY 11105 | 2018-02-15 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1164942330 | Kara Lorraine Gerbino | Registered Nurse | 2325 31st St Ste 301, Astoria, NY 11105 | 2017-06-20 |
| 1669908828 | Gerlie H Estores | Licensed Practical Nurse | 2257 23rd Street, 2nd Floor, Astoria, NY 11105 | 2017-05-10 |
| 1558809665 | Tasrina Khan | Behavioral Analyst | 24-13 23rd Ave, Astoria, NY 11105 | 2017-02-09 |
| 1356892988 | Maria Tsoukias | Behavioral Analyst | 21-21 24th Street, Astoria, NY 11105 | 2016-10-19 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
| 1194185363 | Sisters of The Good Shepherd | Social Worker | 25-30 21 Avenue, Astoria, NY 11105 | 2016-03-02 |
| 1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
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| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023104023 | Alexander Nicolaides | Dermatology | 2318 31st St, Suite 320, Astoria, NY 11105-2892 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835364 | Skin & Aesthetic Surgery of Manhattan | Dermatology | 120 E 56th St # 1500, New York, NY 10022-3607 | 2020-09-14 |
| 1710443015 | Robert Paul Cipolla | Dermatology | 48 Cordelia Ave, Staten Island, NY 10309-3434 | 2019-02-12 |
| 1861889552 | Miriam R Lieberman | Dermatology | 2003 Avenue J Ste 1c, Brooklyn, NY 11210-3605 | 2015-04-20 |
| 1417206459 | Brett Marsh Dolgin | Dermatology | 255 Great Neck Rd Apt Ph15, Great Neck, NY 11021-3358 | 2012-09-06 |
| 1700149077 | Meghan Anne Feely | Dermatology | 300 E 75th St, 18l, New York, NY 10021-0216 | 2012-06-20 |
| 1487936308 | Union Square Laser Dermatology | Dermatology | 19 Union Sq W Fl 5, New York, NY 10003-3304 | 2011-09-16 |
| 1073764809 | William Jay Greenberg | Dermatology | 301 E 81st St, New York, NY 10028-4033 | 2008-10-10 |
| 1073780540 | Lewis M. Dubroff, M.d.,p.c. | Dermatology | 475 Irving Ave Ste 314, Syracuse, NY 13210-1528 | 2008-05-13 |
| 1992983456 | Jared Jagdeo | Dermatology | 450 Clarkson Ave Fl 8, Brooklyn, NY 11203-2012 | 2008-02-07 |
| 1437339447 | Mary Louise Lenahan | Dermatology | 9388 Transit Rd, East Amherst, NY 14051-1494 | 2007-11-07 |
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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.