Fadeyi Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FADEYI DERMATOLOGY PLLC

Practice address

245 5TH Ave FL 3
New York, NY 10016-8728

Phone

(929) 213-7785

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Darice Fadeyi, MDNPI 1427280544

Title

Owner

Phone

(914) 437-5850

Specialties & licenses 1

Addresses

Practitioners 1

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

• Darice Williams Fadeyi, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1427280544
  NPD Authorized official

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1679151997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 5TH AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168728",
            "telephone_number": "929-213-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 5TH AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168728",
            "telephone_number": "929-213-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADEYI DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "FADEYI",
        "authorized_official_first_name": "DARICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-437-5850",
        "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": []
}

• Deborah Fader, LCSW
• Jonathan Fader, PHD
• Ralph Parker Fader IV, M.D.
• Sharon Rebecca Fader, LCSW
• Thelma Villar Faderan
• Darice Williams Fadeyi, M.D.
• Jason Toyin Fadeyi, M.D.
• Fadi F. Attiyeh, M.D., P.C.
• Akintayo Olalekan Fadoju, RN, NP
• Brendaliz Fadul, MHC

• 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 Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.