Bridgeview Dermatology, PLLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

282042-1 Issued in NY

Legal business name

BRIDGEVIEW DERMATOLOGY, PLLC

Practice address

2955 Veterans Rd W Ste 2F
Staten Island, NY 10309-2504

Phone

(929) 200-3003

Fax

(929) 224-0696

NPI assigned

Apr 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tejas Patel, MDNPI 1497041776

Title

President

Phone

(929) 200-3003

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tejas Bharat Patel, M.D.

  • Dermatology Physician
  • Staten Island, NY
  • NPI 1497041776
  Medicare reassignment Authorized official
• Amna Ashfaq

  • Podiatrist
  • Jefferson Valley, NY
  • NPI 1497191720

  Single Specialty

  NPD (past)
• Frank V Carpiniello, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1922146265
  NPD (past)
• Edward Celmer, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1467563403
  NPD (past)
• Elizabeth Ann Darcy, MD

  • Pediatrics Physician
  • Staten Island, NY
  • NPI 1386610582
  NPD (past)
• Mary Jean Spinelli, MD

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1871623363
  NPD (past)
• Daniel White, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
  • NPI 1689026791
  NPD (past)
• David Adam Loewinger, DPM

  • Foot & Ankle Surgery Podiatrist
  • Scotch Plains, NJ
  • NPI 1093110744
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1003349986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 VETERANS RD W STE 2F",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092504",
            "telephone_number": "929-200-3003",
            "fax_number": "929-224-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VETERANS RD W STE 2F",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092504",
            "telephone_number": "929-200-3003",
            "fax_number": "929-224-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 E 83rd St Unit 2F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112364225",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 Beach 20th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116913621",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14040 Sanford Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552556",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Express Dr S",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117885302",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Lake Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Ronkonkoma",
            "state": "NY",
            "postal_code": "117793192",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1526 New Haven Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116915148",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Henderson Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103012108",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Lake Ave S",
            "address_purpose": "LOCATION",
            "city": "Nesconset",
            "state": "NY",
            "postal_code": "117671001",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 E Main St",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117023524",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914001",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Father Capodanno Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103054803",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Route 112",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117763078",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8008 45th Ave Unit 2F",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113733545",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 W 33rd St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112241404",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Waring Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104696331",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11502 Ocean Promenade",
            "address_purpose": "LOCATION",
            "city": "Rockaway Park",
            "state": "NY",
            "postal_code": "116942412",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 E Gun Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104676107",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6355 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104712701",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGEVIEW DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-200-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "282042-",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "282042-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Procedural Dermatology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.