Organization Active NPI

VS Dermatology PLLC

  • Dermatology Physician
  • Farmingdale, NY
National Provider Identifier
1073366449
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
VS DERMATOLOGY PLLC
Practice address
250 Fulton St
Farmingdale, NY 11735-2512
Phone
(516) 930-5333
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Dr. Vishal Saggar, MDNPI 1225419047
Title
Owner
Phone
(516) 930-5333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

250 Fulton St
Farmingdale, NY 11735-2512

Mailing address

15 Daffodil Dr
Farmingdale, NY 11735-7000
Phone (631) 839-9013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240529001936 NY Part B Supplier - Clinic/Group Practice 7911349444 Receives reassigned benefits from 1 practitioner
Practice locations: Farmingdale, NY

National Provider Directory

National Provider Directory

Locations

250 Fulton St
Farmingdale, NY 11735
Phone (516) 930-5333

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1073366449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DAFFODIL DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117357000",
            "telephone_number": "631-839-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352512",
            "telephone_number": "516-930-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VS DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "SAGGAR",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-930-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.