Individual provider Active NPI

Tyler Andriano, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1467101782
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
344477 Issued in NY
Practice address
580 Park Ave Ste 1
New York, NY 10065-7313
Phone
(212) 752-3692
NPI assigned
Mar 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 344477 NY Primary

Addresses

Primary practice location

580 Park Ave Ste 1
New York, NY 10065-7313

Mailing address

580 Park Ave Ste 1
New York, NY 10065-7313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

580 Park Ave
Suite 1
New York, NY 10065-7342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
344477NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexion Medical PLLC Dermatology CurrentSince Sep 8, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1467101782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 PARK AVE STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PARK AVE STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657313",
            "telephone_number": "212-752-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIANO",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "344477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.