Active NPI
True Dermatology PLLC
- Dermatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- TRUE DERMATOLOGY PLLC
- Practice address
- 54 W 21St St RM 307
New York, NY 10010-7373 - Phone
- (466) 397-6377
- Fax
- (772) 783-1002
- NPI assigned
- Jun 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy Spizuoco, DO
- Title
- Physician/Owner
- Phone
- (917) 658-7018
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
54 W 21St St RM 307
New York, NY 10010-7373
Mailing address
54 W 21St St RM 307
New York, NY 10010-7373
Phone (646) 397-6377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191119001797 | NY | Part B Supplier - Clinic/Group Practice | 2961834684 |
Receives reassigned benefits from 3 practitioners Practice locations: New York, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2188976 | True Dermatology PLLC | Compliance | Aug 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
54 W 21st St
Rm 307
New York, NY 10010
Phone (212) 255-9800
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- New York, NY
- NPI 1679755334
-
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1740069079
-
- Medical Physician Assistant
- Kennewick, WA
- NPI 1740323997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588636800000",
"number": "1760041297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 W 21ST ST RM 307",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107373",
"telephone_number": "646-397-6377",
"fax_number": "772-783-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 W 21ST ST RM 307",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107373",
"telephone_number": "466-397-6377",
"fax_number": "772-783-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE DERMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-09",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A",
"authorized_official_last_name": "SPIZUOCO",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "917-658-7018",
"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": []
}
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 May 5, 2020; 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.