NPIMap

Organization Active NPI

Progressive Dermatology, P.C.

  • Dermatology Physician
  • Port Washington, NY
National Provider Identifier
1801002456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
233325-1 Issued in NY
Legal business name
PROGRESSIVE DERMATOLOGY, P.C.
Practice address
65 Hickory Rd # B
Port Washington, NY 11050-1517
Phone
(516) 712-9337
Fax
(516) 294-4569
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robin Beth Septon, M.D.
Title
Physician
Phone
(516) 712-9337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 233325-1 NY Primary

Addresses

Primary practice location

65 Hickory Rd # B
Port Washington, NY 11050-1517

Mailing address

65 Hickory Rd # B
Port Washington, NY 11050-1517
Phone (516) 712-9337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801002456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HICKORY RD # B",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501517",
            "telephone_number": "516-712-9337",
            "fax_number": "516-294-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HICKORY RD # B",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501517",
            "telephone_number": "516-712-9337",
            "fax_number": "516-294-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEPTON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-712-9337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "233325-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.