Active NPI
Huntington Dermatology and Cosmetics Associate PC
- Dermatology Physician
- Huntington, NY
National Provider Identifier
1487669883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 152208
- Legal business name
- HUNTINGTON DERMATOLOGY AND COSMETICS ASSOCIATE PC
- Practice address
- 11 Prospect St
Huntington, NY 11743 - Phone
- (631) 424-3376
- Fax
- (631) 424-0199
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phyllis J Smith
- Title
- Owner
- Phone
- (631) 424-3376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 152208 | NY | Primary |
Addresses
Primary practice location
11 Prospect St
Huntington, NY 11743
Mailing address
11 Prospect St
Huntington, NY 11743
Phone (631) 424-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
200 W Carver St
Ste 200
Huntington, NY 11743
200 W Carver St
Ste 2
Huntington, NY 11743
Phone (631) 424-3376
11 Prospect St
Huntington, NY 11743
Phone (631) 424-3376
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatopathology (Pathology) Physician
- Port Washington, NY
- NPI 1962548438
-
- Procedural Dermatology Physician
- Long Beach, NY
- NPI 1861643611
-
- Ophthalmology Physician
- New York, NY
- NPI 1922087766
-
- Ophthalmology Physician
- Brentwood, NY
- NPI 1669570487
-
- Optometrist
- Brentwood, NY
- NPI 1194707570
-
- Optometrist
- Northport, NY
- NPI 1508932179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190851200000",
"number": "1487669883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PROSPECT ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "631-424-3376",
"fax_number": "631-424-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PROSPECT ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "631-424-3376",
"fax_number": "631-424-0199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTINGTON DERMATOLOGY AND COSMETICS ASSOCIATE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2007-09-27",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-424-3376",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NY",
"license": "152208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
- Huntington Center for Pain Treatment, LLP
- Huntington Chiropractic Health & Wellness,P.C.
- Huntington Cor LLC
- Huntington Counseling Center Inc
- Huntington Dental Group
- Huntington Drug & Alcohol
- Huntington Endoscopy Office Based Surgery
- Huntington Faculty Medical Affiliates, University Faculty Practice Cor
- Huntington Family Optometry PC
- Huntington Gastroenterology Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.