NPIMap

Individual provider Active NPI

Darren Keith Mollick, MD

  • MOHS-Micrographic Surgery Physician
  • Syosset, NY
National Provider Identifier
1225012552
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
217820-4 Issued in NY
Practice address
175 Jericho Tpke
Suite 320
Syosset, NY 11791-4532
Phone
(516) 921-6780
NPI assigned
Nov 30, 2005
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 217820 NY
MOHS-Micrographic Surgery Physician 207ND0101X 217820-4 NY Primary
Pediatric Dermatology Physician 207NP0225X 217820 NY
Procedural Dermatology Physician 207NS0135X 217820 NY

Addresses

Primary practice location

175 Jericho Tpke
Suite 320
Syosset, NY 11791-4532

Mailing address

175 Jericho Tpke
Suite 320
Syosset, NY 11791-4532
Phone (516) 921-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000656 NY Practitioner - Dermatology 1951398577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

3 Delaware Dr
Suite 202
New Hyde Park, NY 11042-1116
Phone (516) 622-6161

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision113
Removal of tissue1-10
Removal of skin lesions87
Removal of skin cancer1030
Removal of nail tissue1-10
Skin biopsy37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
217820-4NYMDMOHS-Micrographic Surgery Physician
217820NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Long Island Skin Cancer and Dermatologic Surgery, PC Current Accepting new patients
Optum Medical Care, P.C. Dermatology CurrentSince Sep 1, 2022 Accepting new patients
North Shore-Lij Medical PC Dermatology Past Accepting new patients
South Nassau Dermatology P.C. Dermatology PastSince Jan 1, 1999 Accepting new patients
University Physicians of Brooklyn, Inc. Dermatology Past Accepting new patients
Laserderm Dermatology & Cosmetic Laser Surgery Past Accepting new patients
Mount Kisco Medical Group Dermatology Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

994 W Jericho Tpke
Ste 103
Smithtown, NY 11787
Phone (631) 864-6647

575 Underhill Blvd
Ste 100
Syosset, NY 11791

575 Underhill Blvd
Ste 130
Syosset, NY 11791
Phone (516) 294-9540

Philadelphia, PA 19195

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1225012552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 320",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-921-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 320",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-921-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLICK",
        "first_name": "DARREN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "217820",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "217820-4",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NY",
            "license": "217820",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "217820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.