Organization Active NPI

True Dermatology PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1760041297
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on May 5, 2020

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

Authorized official

Name
Dr. Amy Spizuoco, DONPI 1285952515
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 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
33D2188976True Dermatology PLLC54 W 21St Street - # 307, New York, NY 10010ComplianceAug 13, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.