Suffolk Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

256750 Issued in NY

Legal business name

SUFFOLK DERMATOLOGY PC

Practice address

500 Portion Rd Ste 12
Ronkonkoma, NY 11779-4587

Phone

(631) 648-0101

Fax

(631) 648-0191

NPI assigned

Sep 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David I Silverstein, M.D.NPI 1295978252

Title

Owner

Phone

(631) 648-0101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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

• David Silverstein, MD

  • Dermatology Physician
  • Ronkonkoma, NY
  • NPI 1295978252
  Medicare reassignment NPD Authorized official
• Alexa Renee Haemer, PA

  • Medical Physician Assistant
  • Lake Ronkonkoma, NY
  • NPI 1659915486
  Medicare reassignment
• Tamara Koss, MD

  • Dermatology Physician
  • Smithtown, NY
  • NPI 1013989599
  Medicare reassignment
• Lauren Elizabeth Lozier, RPA-C

  • Physician Assistant
  • Stony Brook, NY
  • NPI 1679815005
  Medicare reassignment
• Mariah Leigh Messina, PA-C

  • Medical Physician Assistant
  • Riverhead, NY
  • NPI 1285272740
  Medicare reassignment
• Dorit Ben-Moha, DO

  • Adult Medicine Physician
  • Jericho, NY
  • NPI 1831288851
  NPD (past)
• Amanda Mary Klenda, PA-C

  • Surgical Physician Assistant
  • Newton, KS
  • NPI 1467927764
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1508234113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PORTION RD STE 11",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794587",
            "telephone_number": "631-648-0101",
            "fax_number": "631-648-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORTION RD STE 12",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794587",
            "telephone_number": "631-648-0101",
            "fax_number": "631-648-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "SILVERSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-648-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "256750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sterber
• Christina Marie Steudte, LMHC
• Heather Marie Stine
• Arianna Nicole Stolz, RDN
• Structure Pro Chiropractic P.C.
• Shruthi Sunil
• Danielle Sweeney
• Jameela Syed
• Tiffany Szkred
• Jennifer Szoyka

• Dermatology Physician in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 Sep 22, 2015; 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.