New Age Dermatology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

206401 Issued in NY

Legal business name

NEW AGE DERMATOLOGY PLLC

Practice address

7812 Metropolitan Ave
Middle Village, NY 11379-2900

Phone

(718) 416-4600

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Isabella Ilarda, MDNPI 1982619318

Title

Owner

Phone

(973) 616-7117

Specialties & licenses 1

Addresses

Practitioners 1

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

• Isabella Ilarda, MD

  • Dermatology Physician
  • Middle Village, NY
  • NPI 1982619318
  NPD (past) Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245347079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792900",
            "telephone_number": "718-416-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792900",
            "telephone_number": "718-416-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ILARDA",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-616-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "206401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Grace Musliner
• Marta Maria Musungu Yenge, MA, CCC-SLP
• Anasuya Nagaraj, M.D
• Stephanie Napolitano, LMHC
• Margaret Josephine Neville, MA, CCC-SLP, TSHH
• New Hope Mental Health Counseling P.C.
• Kristine Nguyen
• Michael Nichols, MD
• Renee Adriana Nichols, FNP-BC
• Lauren Nieves

• Specialist in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.