NPIMap

Organization Active NPI

Atlantic Dermatologic Associates LLP

  • Specialist
  • Lynbrook, NY
National Provider Identifier
1306012737
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1464981 Issued in NY
Legal business name
ATLANTIC DERMATOLOGIC ASSOCIATES LLP
Practice address
444 Merrick Rd Ste LL2
Lynbrook, NY 11563-2400
Phone
(516) 599-4498
Fax
(516) 599-4449
NPI assigned
May 6, 2008
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Dr. Marvin Brian Tankel, MDNPI 1700885290
Title
Partner
Phone
(516) 599-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1464981 NY Primary

Addresses

Primary practice location

444 Merrick Rd Ste LL2
Lynbrook, NY 11563-2400

Mailing address

444 Merrick Rd Ste LL2
Lynbrook, NY 11563-2400
Phone (516) 599-4498

Other practice location 1

260 W Sunrise Hwy
Suite 305
Valley Stream, NY 11581-1011
Phone (516) 791-8664

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Dermatologic Associates LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

444 Merrick Rd
Ste LL2
Lynbrook, NY 11563
Phone (516) 599-4242

260 W Sunrise Hwy
Ste 305
Valley Stream, NY 11581
Phone (516) 791-8664

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1306012737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MERRICK RD STE LL2",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632400",
            "telephone_number": "516-599-4498",
            "fax_number": "516-599-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MERRICK RD STE LL2",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632400",
            "telephone_number": "516-599-4498",
            "fax_number": "516-599-4449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 W Sunrise Hwy",
            "address_2": "SUITE 305",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115811011",
            "country_code": "US",
            "telephone_number": "516-791-8664",
            "fax_number": "516-791-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTIC DERMATOLOGIC ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "TANKEL",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-599-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1464981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.