Individual provider Active NPI

Joanna Dong, MD

  • Dermatology Physician
  • West Nyack, NY
National Provider Identifier
1801393160
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
321191-01 Issued in NY
Practice address
2 Centerock Rd
West Nyack, NY 10994-2215
Phone
(845) 703-9999
Fax
(845) 703-6297
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 75055 CT
MOHS-Micrographic Surgery Physician 207ND0101X D0097632 MD
Dermatology Physician 207N00000X 321191-01 NY Primary

Addresses

Primary practice location

2 Centerock Rd
West Nyack, NY 10994-2215

Mailing address

8414 Naab Rd
Indianapolis, IN 46260-1972

Other practice location 1

5454 Wisconsin Ave Ste 725
Chevy Chase, MD 20815-6947
Phone (301) 812-4591

Other practice location 2

2777 Summer St Ste 600
Stamford, CT 06905-4323
Phone (203) 428-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230712001725 DC Practitioner - Dermatology 2163805888 Reassigns benefits to 2 organizations
I20250521001445 NY Practitioner - Dermatology 2163805888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Icahn School of Medicine at Mount Sinai, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald R Brancaccio MD and Peter Saitta DO PCGroup PAC ID 0648351338, 23 clinicians

Practice addresses (Care Compare)

7901 4TH Ave
Suite A20
Brooklyn, NY 11209-3957
Phone (718) 491-5800

Merit-based Incentive Payment System (MIPS)

Final score
73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of tissue1-10
Removal of skin lesions22
Removal of skin cancer143
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
321191-01NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Hendi, MD, PC CurrentSince Jun 26, 2023 Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Jun 30, 2025 Accepting new patients
Saitta Dermatology PC Dermatology CurrentSince Aug 25, 2025 Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Jun 30, 2025 Accepting new patients
Ronald R Brancaccio MD & Peter Saitta DO PC Dermatology CurrentSince Aug 25, 2025 Accepting new patients
Hendi Ambulatory Surgery Center, PC CurrentSince Jul 24, 2023 Accepting new patients

Locations

5454 Wisconsin Ave
Ste 725
Chevy Chase, MD 20815
Phone (301) 986-1006

7901 4th Ave
Ste A20
Brooklyn, NY 11209
Phone (718) 491-6900

300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999

2 Centerock Rd
West Nyack, NY 10994
Phone (844) 592-7009

Interoperability endpoints

  • Direct secure messaging: jdong205145@direct.optum.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1801393160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 NAAB RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTEROCK RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942215",
            "telephone_number": "845-703-9999",
            "fax_number": "845-703-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 Wisconsin Ave Ste 725",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208156947",
            "country_code": "US",
            "telephone_number": "301-812-4591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2777 Summer St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069054323",
            "country_code": "US",
            "telephone_number": "203-428-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONG",
        "first_name": "JOANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "75055",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "D0097632",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "321191-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.