Massapequa Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

171086 Issued in NY

Legal business name

MASSAPEQUA DERMATOLOGY PLLC

Practice address

70 Grand Ave
Massapequa, NY 11758-4906

Phone

(516) 799-1600

Fax

(516) 799-1454

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David B Kessler, D.O.NPI 1255442232

Title

Owner

Phone

(516) 799-1600

Specialties & licenses 1

Addresses

Other identifiers 1

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 7

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.

• David B Kessler, D.O.

  • Dermatology Physician
  • Massapequa, NY
  • NPI 1255442232
  Medicare reassignment Care Compare group NPD Authorized official
• Todd R. Coven, M.D.

  • MOHS-Micrographic Surgery Physician
  • Huntington Station, NY
  • NPI 1215943121
  Medicare reassignment Care Compare group NPD
• Martin E. Kessler, M.D.,F.A.C.S.

  • Specialist
  • Great Neck, NY
  • NPI 1831274711
  Medicare reassignment Care Compare group NPD
• Taylor Kurz, PA-C

  • Physician Assistant
  • Massapequa, NY
  • NPI 1982595641
  Medicare reassignment Care Compare group NPD
• Kimberly Ann Cossaro

  • Medical Physician Assistant
  • Massapequa, NY
  • NPI 1427132018
  Medicare reassignment Care Compare group
• Kaleigh A Marino, RPA-C

  • Physician Assistant
  • Lynbrook, NY
  • NPI 1104069970
  Medicare reassignment Care Compare group
• Pamela Lachs, PA-C

  • Physician Assistant
  • Garden City, NY
  • NPI 1629507629
  Medicare reassignment

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1184735193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GRAND AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584906",
            "telephone_number": "516-799-1600",
            "fax_number": "516-799-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GRAND AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584906",
            "telephone_number": "516-799-1600",
            "fax_number": "516-799-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAPEQUA DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-799-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "171086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01503988",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra L Martinez
• Onaysia Dae Martinez, PT, DPT
• Taylor Martinez, PHARMD
• Marissa Anne Martino, NP
• Massapequa Acupuncture P.C.
• Massapequa Family Pharmacy Corp (Massapequa Family Pharmacy)
• Massapequa Fire District
• Massapequa Massage Therapy, PC
• Massapequa Medical PC
• Massapequa Neurologic,PC

• Dermatology Physician in Massapequa, NY
• Providers in Massapequa, 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 Apr 22, 2015; 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.