Individual provider Active NPI

Gregory Scott Phillips, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1003442948
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
335816-01 Issued in NY
Practice address
820 2ND Ave RM 3a
New York, NY 10017-4534
Phone
(212) 661-3376
Fax
(212) 661-3366
NPI assigned
Mar 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 335816-01 NY Primary

Addresses

Primary practice location

820 2ND Ave RM 3a
New York, NY 10017-4534

Mailing address

450 Clarkson Ave
Box 46, Department of Dermatology, 8TH Floor
Brooklyn, NY 11203-4976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001003283 NY Practitioner - Dermatology 2466855531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manhattan Dermatology and Cosmetics PLLCGroup PAC ID 4385778570, 9 clinicians

Practice addresses (Care Compare)

820 2ND Ave
RM 3a
New York, NY 10017-4534
Phone (212) 661-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24
Removal of nail tissue1-10
Skin biopsy21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
335816-01NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Dermatology & Mohs Surgery Group, PLLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
New York Dermatology & Mohs Surgery Group, PLLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Manhattan Dermatology and Cosmetics PLLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

353 Veterans Memorial Hwy
Ste 101
Commack, NY 11725
Phone (631) 543-4888

820 2nd Ave
Rm 3A
New York, NY 10017
Phone (212) 661-3376

Interoperability endpoints

  • Direct secure messaging: gregory.phillips.1@7628.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1003442948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 46, DEPARTMENT OF DERMATOLOGY, 8TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE RM 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174534",
            "telephone_number": "212-661-3376",
            "fax_number": "212-661-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "335816-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.