Organization Active NPI

Central Park Dermatology, P.C.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1316068885
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
191853 Issued in NY
Legal business name
CENTRAL PARK DERMATOLOGY, P.C.
Doing business as
Dr. Roy Stern
Practice address
800A 5TH Ave
Suite 403
New York, NY 10021-7215
Phone
(212) 421-7546
Fax
(212) 421-2970
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Dr. Roy L. Stern, M.D.
Title
President
Phone
(917) 232-8085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 191853 NY Primary

Addresses

Primary practice location

800A 5TH Ave
Suite 403
New York, NY 10021-7215

Mailing address

PO Box 230891
New York, NY 10023-0015
Phone (917) 232-8085

Other names 1

  • Dr. Roy Stern Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1316068885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230891",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100230015",
            "telephone_number": "917-232-8085",
            "fax_number": "212-421-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE",
            "address_2": "SUITE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217215",
            "telephone_number": "212-421-7546",
            "fax_number": "212-421-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-232-8085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "191853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Roy Stern",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.