VANGUARD DERMATOLOGY (NPI# 1336337955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336337955 |
| Entity Type | Organization |
| Organization Name | VANGUARD DERMATOLOGY |
| Practice Address |
11045 Queens Blvd Unit 116 Forest Hills NY 11375-5501 |
| Mailing Address |
14568 3rd Ave Whitestone NY 11357-1101 |
| Practice Telephone | 7183322999 |
| Mailing Telephone | 7183322999 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | DR. MICHAEL SHAPIRO (PRESIDENT) |
| Authorized Official Telephone | 7183322999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02692937 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659556777 | Vanguard Dermatology | Specialist | 2119 E 15th St, Brooklyn, NY 11229-4314 | 2008-01-08 |
| 1619179009 | Vanguard Dermatology | Specialist | 2119 E 15th St, Brooklyn, NY 11229-4314 | 2007-06-05 |
| Street Address |
11045 QUEENS BLVD UNIT 116 |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306803879 | Kim Staiman Rothstein | Optometrist | 11045 Queens Blvd, Ste Aa, Forest Hills, NY 11375 | 2006-04-28 |
| 1831714146 | Diane Jennifer Zyskowski | Physical Therapy Assistant | 11045 Queens Blvd, Forest Hills, NY 11375-5501 | 2020-06-11 |
| 1902227796 | Coast Physical Therapy P.c | Physical Therapist | 11045 Queens Blvd, 106, Forest Hills, NY 11375-5501 | 2013-12-20 |
| 1295066520 | Manny Sternberg | Surgery | 11045 Queens Blvd, Apt. 810, Forest Hills, NY 11375-5501 | 2010-01-27 |
| 1003044736 | Abigail Marie E Agustero | Physical Therapist | 11045 Queens Blvd, Suite 105, Forest Hills, NY 11375-5501 | 2009-07-01 |
| 1003026519 | Nancy Xiao Zhang | Acupuncturist | 11045 Queens Blvd, Suite Aa, Forest Hills, NY 11375-5501 | 2007-05-23 |
| 1285843755 | H Alan Schnall Md Pllc | Internal Medicine | 11045 Queens Blvd, Suite 103, Forest Hills, NY 11375-5501 | 2007-05-22 |
| 1790992030 | Front Street Medical PC | Physical Medicine & Rehabilitation | 11045 Queens Blvd, Suite Aa, Forest Hills, NY 11375-5501 | 2007-05-17 |
| 1306966072 | Richard Lestz | Dentist | 11045 Queens Blvd, Suite 109, Forest Hills, NY 11375-5501 | 2007-03-29 |
| 1437278173 | Todd Gage | Physical Therapist | 11045 Queens Blvd, Apt 214, Forest Hills, NY 11375-5501 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598302879 | Lakeisha Ward | Specialist | 96-09 72nd Avenue, Forest Hills, NY 11375-1137 | 2019-12-05 |
| 1184265803 | Mariya Khaimova | Specialist | 6812 Yellowstone Blvd Apt 4s, Forest Hills, NY 11375-3244 | 2019-10-03 |
| 1295297760 | Zulaiho Yusupov | Specialist | 6436 110th St, Forest Hills, NY 11375-1436 | 2019-04-03 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| 1114404647 | Anlly J Castillo | Specialist | 6770 Yellowstone Blvd Apt C, Forest Hills, NY 11375-2836 | 2018-07-27 |
| 1134606866 | Helen Chevalier | Specialist | 7000 Austin St Ste 2, Forest Hills, NY 11375-4739 | 2018-07-25 |
| 1083130512 | Keypoint, Inc | Specialist | 10520 66th Ave Apt 3d, Forest Hills, NY 11375-2105 | 2017-08-16 |
| 1053836817 | Carolina Flores | Specialist | 7000 Austin Street Suite 200, Forest Hills, NY 11375 | 2017-08-13 |
| 1861915050 | Towana Yolanda Green | Specialist | 10818 Queens Blvd Ste 4a5th, Forest Hills, NY 11375-4748 | 2017-07-20 |
| 1902327810 | Abigail Elaine Marcus | Specialist | 10011 67th Rd Apt 501, Forest Hills, NY 11375-2721 | 2017-06-30 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on VANGUARD DERMATOLOGY.
| 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.