An Dermatology of New York P C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AN DERMATOLOGY OF NEW YORK P C

Practice address

110 E 40TH St RM 703
New York, NY 10016-1806

Phone

(516) 945-9346

Fax

(231) 216-7895

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Adam Nabatian, MDNPI 1548569437

Title

Ceo

Phone

(516) 945-9346

Specialties & licenses 2

Addresses

Other names 1

• Premier Dermatology Doing business as

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 1

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

• Adam Nabatian, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1548569437
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1033818208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 THE PNES",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681126",
            "telephone_number": "516-945-9346",
            "fax_number": "231-216-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 40TH ST RM 703",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161806",
            "telephone_number": "516-945-9346",
            "fax_number": "231-216-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN DERMATOLOGY OF NEW YORK P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "NABATIAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-945-9346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Lyburn LCSW PLLC
• Amy Rose MD, PLLC
• Rosalie Baldwin Amy, LCSW
• Amz Publishing Groups
• Michael M Amzallag, M.D.
• Nami An-Mallea
• Daniel An
• Daniel An, MD
• Eunjung An, OTR/L
• Eunteak An

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.