Community Medical &Dermatology Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COMMUNITY MEDICAL &DERMATOLOGY CENTER

Practice address

200 Central Park S
Suite 107
New York, NY 10019-1436

Phone

(212) 262-2500

Fax

(212) 246-0890

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Lawrence D Jaeger, D.O.NPI 1093711897

Title

President

Phone

(212) 262-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Lawrence D Jaeger Sr., DO

  • Dermatology Physician
  • New York, NY
  • NPI 1093711897
  NPD Authorized official

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265422679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515601",
            "telephone_number": "718-742-6014",
            "fax_number": "212-246-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTRAL PARK S",
            "address_2": "SUITE 107",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191436",
            "telephone_number": "212-262-2500",
            "fax_number": "212-246-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL &DERMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-262-2500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02370854",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Healthcare Network, Inc
• Community Healthcare Network, Inc
• Community Healthcare Network, Inc
• Community Healthcare Network, Inc.
• Community Healthcare Network, Inc.
• Community Options Inc
• Community Resource Center for the Developmentally Disabled, Inc.
• Community Resources of New York, LLC
• Amanda Mary Comp, RN
• Compact RX Inc

• Community Health Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Community Health Clinic/Center 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.