DERMATOLOGIC PROCEDURES OF QUEENS COUNTY, PC (NPI# 1306387808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306387808 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGIC PROCEDURES OF QUEENS COUNTY, PC |
| Practice Address |
5847 188th St Fresh Meadows NY 11365-2201 |
| Mailing Address |
6 Lowell Ave New Hyde Park NY 11040-2810 |
| Practice Telephone | 6318204360 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | JOSHUA FOX (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6318204360 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AAAASF #5859 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AAAASF, INC. | 5859 | 01 |
| Street Address |
5847 188TH ST |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11365-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967025 | Lance Barazani | Dermatology | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-07-26 |
| 1063414936 | Melissa Sanoff Wiener | Physician Assistant | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-08-11 |
| 1275534067 | Martin Reichel | Dermatology | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-08-03 |
| 1447251129 | Jason Applebaum | Dermatology | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-08-03 |
| 1326048430 | Suzanne J Friedler | Dermatology | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-07-29 |
| 1932109014 | Meryl Blecker Joerg | Dermatology | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-07-29 |
| 1356341432 | Aza Lefkowitz | Dermatology | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-07-29 |
| 1861492977 | John N Troccoli | Dermatology | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-07-29 |
| 1306846415 | Christopher Byrne | Physician Assistant | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-07-29 |
| 1215937396 | Joshua L Fox | Dermatology | 5847 188th St, Fresh Meadows, NY 11365-2201 | 2005-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780935528 | Queens Endoscopy Asc, LLC | Clinic/Center | 17660 Union Tpke, Fresh Meadows, NY 11366-1526 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
| 1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
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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.