Active NPI
Merriderm Dermatology PLLC
- Medical Specialty Clinic/Center
- Flushing, NY
National Provider Identifier
1255775227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 266027
- Legal business name
- MERRIDERM DERMATOLOGY PLLC
- Practice address
- 3644 Main St # 2NDFL
Flushing, NY 11354-4143 - Phone
- (347) 732-0690
- Fax
- (347) 732-0691
- NPI assigned
- Apr 22, 2013
- 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
- Wenhong Zhou
- Title
- President/Owner
- Phone
- (917) 770-7908
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 266027 | NY | Primary |
Addresses
Primary practice location
3644 Main St # 2NDFL
Flushing, NY 11354-4143
Mailing address
3644 Main St # 2NDFL
Flushing, NY 11354-4143
Phone (347) 732-0690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03509437 | Medicaid | NY |
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 |
|---|---|---|---|
| 33D2052825 | Merriderm Dermatology PLLC | Provider-performed microscopy | Jan 17, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/BHCACD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Flushing, NY
- NPI 1952558504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759708800000",
"number": "1255775227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3644 MAIN ST # 2NDFL",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544143",
"telephone_number": "347-732-0690",
"fax_number": "347-732-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3644 MAIN ST # 2NDFL",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544143",
"telephone_number": "347-732-0690",
"fax_number": "347-732-0691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRIDERM DERMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-22",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A",
"authorized_official_last_name": "ZHOU",
"authorized_official_first_name": "WENHONG",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "917-770-7908"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NY",
"license": "266027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03509437",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.