Complexion Medical PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COMPLEXION MEDICAL PLLC

Practice address

580 Park Ave
New York, NY 10065-7313

Phone

(212) 752-3692

NPI assigned

May 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Glodny, MDNPI 1326347766

Title

Dermatologist/Owner

Phone

(516) 698-6864

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Glodny, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1326347766
  Medicare reassignment Care Compare group NPD Authorized official
• Dawn Queen, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1396372827
  Medicare reassignment Care Compare group NPD
• Jesse Yoon, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1982198032
  Medicare reassignment Care Compare group NPD
• Tyler Andriano, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1467101782
  NPD

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1497490429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657313",
            "telephone_number": "212-752-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657313",
            "telephone_number": "212-752-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEXION MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "GLODNY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "DERMATOLOGIST/OWNER",
        "authorized_official_telephone_number": "516-698-6864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Wellness Medical PC
• Complex Care Anesthesia
• Complex Care Solutions
• Complex Spine Care Orthopaedic Surgery
• Complexcare Solutions
• Comprehensive Center
• Comprehensive Diagnostics and Imaging PC
• Comprehensive Evaluation Services PLLC
• Comprehensive Family Podiatry
• Comprehensive G I Endoscopy, Obs

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.