Epoch Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

EPOCH DERMATOLOGY PLLC

Practice address

520 Franklin Ave Ste 211
Garden City, NY 11530-5815

Phone

(814) 397-5121

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Lee, MDNPI 1629334198

Title

Owner

Phone

(814) 397-5121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Nicole Yar-Lute Lee, M.D., M.P.H.

  • Dermatology Physician
  • Garden City, NY
  • NPI 1629334198

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1649959982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W 24TH ST APT 15H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103223",
            "telephone_number": "814-397-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 211",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305815",
            "telephone_number": "814-397-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-397-5121",
        "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": []
}

• Epilepsy Foundation of L.I
• Epilepsy Foundation of L.I
• Epilepsy Foundation of L.I.
• Epilepsy Foundation of Long Island
• Epilepsy Foundation of Long Island
• Heywood Y Epstein, M.D.
• Kathryn Epstein, DPT
• Nancy Ellen Epstein, M.D.
• Emily Christine Errera, PSYD
• Teresa Errigo Vitale, PT DPT OCS

• Dermatology Physician in Garden City, NY
• Providers in Garden City, 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 27, 2023; 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.