Average Dermatology Nyc PC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

AVERAGE DERMATOLOGY NYC PC

Practice address

415 E 37TH St
New York, NY 10016-3200

Phone

(917) 915-5106

NPI assigned

Oct 16, 2025

Last updated

Oct 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ritu Saini, MDNPI 1477763977

Title

Owner

Phone

(917) 915-5106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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.

• Ritu Saini, MD

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1477763977
  Medicare reassignment NPD Authorized official
• Barbara Kornfeld, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1497104491
  NPD (past)
• Vicki J Levine, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1932198983
  NPD (past)
• Sherry S Li, M.D., PH.D.

  • Dermatology Physician
  • Flushing, NY
  • NPI 1992742217
  NPD (past)
• Andrea Bourke, RPA-C

  • Medical Physician Assistant
  • Londonderry, NH
  • NPI 1194070466
  NPD (past)

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1447126305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163200",
            "telephone_number": "917-915-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERAGE DERMATOLOGY NYC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-915-5106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• MOHS-Micrographic Surgery Physician in New York, NY
• Providers in New York, 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 Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.