Organization Active NPI

Dermatology Consultants LLC

  • Dermatology Physician
  • East Syracuse, NY
National Provider Identifier
1154491561
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY CONSULTANTS LLC
Practice address
6711 Towpath Rd Ste 155
East Syracuse, NY 13057-9581
Phone
(315) 701-0070
Fax
(315) 701-0075
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Mrs. Christy Perkins
Title
Office Manager
Phone
(315) 701-0070

Specialties & licenses 1

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

Addresses

Primary practice location

6711 Towpath Rd Ste 155
East Syracuse, NY 13057-9581

Mailing address

6711 Towpath Rd Ste 155
East Syracuse, NY 13057-9581
Phone (315) 701-0070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000753 NY Part B Supplier - Clinic/Group Practice 4486741451 Receives reassigned benefits from 3 practitioners
Practice locations: East Syracuse, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0967162Dermatology Consultants LLC6711 Towpath Road - Ste 155, East Syracuse, NY 13057Provider-performed microscopyNov 3, 2027

National Provider Directory

National Provider Directory

Locations

6711 Towpath Rd
Ste 155
East Syracuse, NY 13057
Phone (315) 701-0070

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00086

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1154491561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 TOWPATH RD STE 155",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579581",
            "telephone_number": "315-701-0070",
            "fax_number": "315-701-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 TOWPATH RD STE 155",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579581",
            "telephone_number": "315-701-0070",
            "fax_number": "315-701-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-701-0070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.