Active NPI
Latham Dermatology, PLLC
- Dermatology Physician
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- LATHAM DERMATOLOGY, PLLC
- Practice address
- 711 Troy Schenectady Rd Ste 211
Latham, NY 12110-2461 - Phone
- (518) 783-8780
- NPI assigned
- Jul 25, 2018
- Last updated
- Oct 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Plotkin
- Title
- Authorized Group Official
- Phone
- (561) 314-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
711 Troy Schenectady Rd Ste 211
Latham, NY 12110-2461
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 314-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2323893 | Latham Dermatology PLLC | Registration | May 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
90 South St
Ste A
Glens Falls, NY 12801
Phone (518) 783-8780
560 Northern Blvd
Ste 202
Great Neck, NY 11021
Phone (516) 773-6660
711 Troy Schenectady Rd
Ste 208
Latham, NY 12110
Phone (518) 783-8780
711 Troy Schenectady Rd
Ste 211
Latham, NY 12110
Phone (213) 200-7708
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Family Nurse Practitioner
- Latham, NY
- NPI 1821193806
-
- Dermatology Physician
- Schenectady, NY
- NPI 1619966264
-
- Physician Assistant
- Latham, NY
- NPI 1497417992
-
- Physician Assistant
- Lake Katrine, NY
- NPI 1205321288
-
- Dermatology Physician
- Latham, NY
- NPI 1003999491
-
- Dermatology Physician
- Williamsville, NY
- NPI 1285733014
-
- Dermatology Physician
- Great Neck, NY
- NPI 1649268327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538611200000",
"number": "1235616962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "561-314-2000",
"fax_number": "561-431-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 211",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-783-8780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATHAM DERMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-25",
"last_updated": "2018-10-04",
"status": "A",
"authorized_official_last_name": "PLOTKIN",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "AUTHORIZED GROUP OFFICIAL",
"authorized_official_telephone_number": "561-314-2000"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.