Skin Cancer and Aesthetic Surgery, P.C.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

256563 Issued in NY

Legal business name

SKIN CANCER AND AESTHETIC SURGERY, P.C.

Doing business as

Dermatology and Skin Surgery

Practice address

2727 Ocean Pkwy
Suite L1
Brooklyn, NY 11235-7857

Phone

(718) 975-7546

Fax

(718) 975-7547

NPI assigned

Jun 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Irene J Vergilis-Kalner, M.D.

Title

President

Phone

(917) 531-6041

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dermatology and Skin Surgery Doing business as

Locations

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1427343391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SEACOAST TER",
            "address_2": "SUITE 18M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356040",
            "telephone_number": "917-531-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 OCEAN PKWY",
            "address_2": "SUITE L1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357857",
            "telephone_number": "718-975-7546",
            "fax_number": "718-975-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER AND AESTHETIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-18",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "VERGILIS-KALNER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-531-6041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "256563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03348170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology and Skin Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerlekarlia Sker, RN
• Michelle Paula Skettini
• Paul Nikolivich Skiba, MD
• Svetlana Skidan
• Skills Nyc Incorporated
• Abigail Skinner
• Amy Skinner, RPA-C
• Grant William Skinner, PHARMD
• Kathryn Jean Skirbe, M.S., CCC-SLP, TSSLD
• Beth Sklar, R.N.

• MOHS-Micrographic Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.