City Central Dermatology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CITY CENTRAL DERMATOLOGY PLLC

Practice address

40-37 74 Street
Elmhurst, NY 11323

Phone

(718) 651-7000

NPI assigned

May 26, 2011

Last updated

May 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Berry, MDNPI 1962692152

Title

MD

Phone

(718) 651-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 24

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.

• Michael Ezra Berry, MD

  • Dermatology Physician
  • Elmhurst, NY
  • NPI 1962692152
  Medicare reassignment Care Compare group NPD Authorized official
• Marina Matatova, D.O.

  • Dermatology Physician
  • Elmhurst, NY
  • NPI 1881977304
  Medicare reassignment Care Compare group NPD
• Ezra Hazan

  • MOHS-Micrographic Surgery Physician
  • Brooklyn, NY
  • NPI 1649666975
  Medicare reassignment NPD
• Joseph Abraham Ahram, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1548228943
  NPD (past)
• Richard S Berry, MD

  • Specialist
  • Brooklyn, NY
  • NPI 1497756183
  NPD (past)
• Polina Burt, PA-C

  • Physician Assistant
  • Elmhurst, NY
  • NPI 1801141148
  NPD (past)
• Shira Ehrlich, PA

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1679129068
  NPD (past)
• Jessica Gross, RPAC

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1740724426
  NPD (past)
• Margarita Karpman, PA

  • Physician Assistant
  • Elmhurst, NY
  • NPI 1033684915
  NPD (past)
• Daniel Kaufman, M.D.

  • Plastic Surgery Physician
  • Brooklyn, NY
  • NPI 1215171566
  NPD (past)
• Rajbir Kaur

  • Physician Assistant
  • South Richmond Hill, NY
  • NPI 1558798694
  NPD (past)
• Eric Kusseluk, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1235283367
  NPD (past)

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1780977579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40-37 74 STREET",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40-37 74 STREET",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11323",
            "telephone_number": "718-651-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CENTRAL DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-651-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Zhu Chung
• Sonia S. Chung, M.D.
• Barbara Ann Cicero, PH.D.
• Noelia Cilli, PA-C
• Margie Ciruelos, LPN
• City Eye Optical Elmhurst, Inc
• City Medical of Upper East Side, PLLC (CityMD Urgent Care)
• City Medical of Upper East Side, PLLC (CityMD Urgent Care)
• Citywide Pediatrics PLLC
• Jennifer Clarke

• Specialist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.