Skinworks Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

187832 Issued in NY

Legal business name

SKINWORKS DERMATOLOGY, PLLC

Practice address

136 W 17TH St
New York, NY 10011-5402

Phone

(212) 807-1866

Fax

(212) 807-1869

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Javier Zelaya, MD

Title

President

Phone

(212) 807-1866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1144353012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115402",
            "telephone_number": "212-807-1866",
            "fax_number": "212-807-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115402",
            "telephone_number": "212-807-1866",
            "fax_number": "212-807-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINWORKS DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "ZELAYA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-807-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "187832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwesi Skinner, LPN
• Lindsey Anne Skinner, ARNP, FNP-BC
• Sheila Skinner, REGISTERED NURSE
• Sofia Skinner, LMSW
• William Kempton Jeffrey Skinner, M.D.
• Nicholas Thomas Skipitaris, MD
• Jamie Skipper
• Olivia Amy Skiro, DO
• Anette Skjerdal, O.D.
• Felice E Sklamberg, O.T.R.

• 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 Nov 18, 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.

Verify at the official NPI Registry.