Dermatologic Services PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGIC SERVICES PLLC

Practice address

415 Red Hook LN Apt 4D
Brooklyn, NY 11201-5132

Phone

(832) 766-4074

NPI assigned

Oct 10, 2024

Organization subpart

No

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

Authorized official

Name

Gibran Shaikh, MDNPI 1356871263

Title

Founder

Phone

(832) 766-4074

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.

• Gibran Shaikh, M.D

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1356871263
  NPD Authorized official

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1275353716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 RED HOOK LN APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015132",
            "telephone_number": "832-766-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 RED HOOK LN APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015132",
            "telephone_number": "832-766-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "GIBRAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "832-766-4074",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beata Derkach
• Ayelet Derkhidam
• Leora Derkhidam
• Sipora Derkhidam
• Anna Derman, M.D.
• Dermatology Skin Care P.C.
• Eric Derolland, M.S. OTR/L
• Adrienne Derosa, NP
• Frank A Derosa, RPH
• Julisa Allison Derose, PA-C

• Dermatology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.