Active NPI
Central Dermatology PC
- Dermatology Physician
- Woodmere, NY
National Provider Identifier
1013166529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CENTRAL DERMATOLOGY PC
- Practice address
- 949 Central Ave
Ground Floor
Woodmere, NY 11598-1204 - Phone
- (516) 295-1921
- NPI assigned
- Sep 9, 2008
- Last updated
- Sep 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irene Elaine Rosenberg, MD
- Title
- Vice-President
- Phone
- (516) 295-1921
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
949 Central Ave
Ground Floor
Woodmere, NY 11598-1204
Mailing address
949 Central Ave
Ground Floor
Woodmere, NY 11598-1204
Phone (516) 295-1921
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Woodmere, NY
- NPI 1932187648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1013166529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 CENTRAL AVE",
"address_2": "GROUND FLOOR",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981204",
"telephone_number": "516-295-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 CENTRAL AVE",
"address_2": "GROUND FLOOR",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981204",
"telephone_number": "516-295-1921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL DERMATOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "IRENE",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "516-295-1921",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.