Organization Active NPI

NS Arora Dermatology PLLC

  • Dermatology Physician
  • Garden City, NY
National Provider Identifier
1740800309
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NS ARORA DERMATOLOGY PLLC
Practice address
400 Garden City PLZ Ste 111
Garden City, NY 11530-3336
Phone
(516) 246-8800
Fax
(516) 559-4617
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Dr. Navin S. Arora, DONPI 1437122348
Title
Founder/Medical Director
Phone
(516) 246-8800

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

400 Garden City PLZ Ste 111
Garden City, NY 11530-3336

Mailing address

400 Garden City PLZ Ste 111
Garden City, NY 11530-3336
Phone (516) 246-8800

Other practice location 1

175 Jericho Tpke Ste 320
Syosset, NY 11791-4538
Phone (516) 246-8800

Other names 1

  • Borealis Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201019000715 NY Part B Supplier - Clinic/Group Practice 2567882210 Receives reassigned benefits from 3 practitioners
Practice locations: Bellerose, NY; Garden City, NY; Syosset, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2234606Borealis Dermatology400 Garden City Plaza - Suite 111, Garden City, NY 11530Certificate of waiverMar 26, 2027
33D2292149NS Arora Dermatology PLLC175 Jericho Turnpike Suite 320, Syosset, NY 11791ComplianceMay 7, 2028

National Provider Directory

National Provider Directory

Locations

25173 Jericho Tpke
Ste 401
Bellerose, NY 11426

25173 Jericho Tpke
Bellerose, NY 11426
Phone (516) 246-8800

400 Garden City Plz
Ste 111
Garden City, NY 11530
Phone (516) 246-8800

99 Jericho Tpke
Ste 110
Jericho, NY 11753

175 Jericho Tpke
Ste 320
Syosset, NY 11791
Phone (516) 246-8800

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1740800309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GARDEN CITY PLZ STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303336",
            "telephone_number": "516-246-8800",
            "fax_number": "516-559-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GARDEN CITY PLZ STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303336",
            "telephone_number": "516-246-8800",
            "fax_number": "516-559-4617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Jericho Tpke Ste 320",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117914538",
            "country_code": "US",
            "telephone_number": "516-246-8800",
            "fax_number": "516-559-4617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NS ARORA DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "NAVIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "FOUNDER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-246-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borealis Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.