Organization Active NPI

Ny Dermatology Laser and Aesthetics

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1689514440
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NY DERMATOLOGY LASER AND AESTHETICS
Practice address
345 E 80TH St Apt 5D
New York, NY 10075-0663
Phone
(917) 300-9078
NPI assigned
Mar 31, 2026
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Nyousha Yousefi, MDNPI 1184186090
Title
President
Phone
(202) 525-0054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

345 E 80TH St Apt 5D
New York, NY 10075-0663

Mailing address

345 E 80TH St Apt 5D
New York, NY 10075-0663

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1689514440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 80TH ST APT 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 80TH ST APT 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750663",
            "telephone_number": "917-300-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY DERMATOLOGY LASER AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "YOUSEFI",
        "authorized_official_first_name": "NYOUSHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-525-0054",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.