Active NPI
Richard Walter Urbanek, M.D.
- Specialist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 127096
- Practice address
- 1324 Victory Blvd
Staten Island, NY 10301-3917 - Phone
- (718) 448-4488
- Fax
- (718) 442-4874
- NPI assigned
- Feb 28, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 127096 | NY | Primary |
Addresses
Primary practice location
1324 Victory Blvd
Staten Island, NY 10301-3917
Mailing address
1324 Victory Blvd
Staten Island, NY 10301-3917
Phone (718) 448-4488
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- JS Weill Medical College, Cornell University, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1324 Victory Blvd
Staten Island, NY 10301-3917
Phone (718) 448-4488
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 563 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 107 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Dermatology LLC | Current | Accepting new patients | |
| Clark Dermatology, LLC | Past | Accepting new patients |
Locations
1075 Central Ave
Clark, NJ 07066
Phone (732) 574-1399
469 Morris Ave
Ste 3
Elizabeth, NJ 07208
Phone (732) 574-1399
1324 Victory Blvd
Staten Island, NY 10301
Phone (718) 448-4488
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- richard.urbanek@metroderm.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Metropolitan Dermatology
- Dermatology Physician
- Clark, NJ
- NPI 1851562425
NY
-
- Specialist
- Staten Island, NY
- NPI 1629101449
-
dba Metropolitan Dermatology
- Dermatology Physician
- Staten Island, NY
- NPI 1417316274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043286065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013917",
"telephone_number": "718-448-4488",
"fax_number": "718-442-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013917",
"telephone_number": "718-448-4488",
"fax_number": "718-442-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANEK",
"first_name": "RICHARD",
"middle_name": "WALTER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "127096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.