Active NPI
North Atlantic Dermatology PLLC
- Dermatology Physician
- Flushing, NY
National Provider Identifier
1811845522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- NORTH ATLANTIC DERMATOLOGY PLLC
- Practice address
- 3516 Francis Lewis Blvd
Flushing, NY 11358-1954 - Phone
- (718) 400-3376
- NPI assigned
- Mar 18, 2026
- 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
- Carey Kim
- Title
- Director
- Phone
- (646) 580-1210
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
3516 Francis Lewis Blvd
Flushing, NY 11358-1954
Mailing address
3516 Francis Lewis Blvd
Flushing, NY 11358-1954
National Provider Directory
National Provider DirectoryLocations
3516 Francis Lewis Blvd
Flushing, NY 11358
Phone (631) 580-1210
Practitioners & affiliated clinicians
Practitioners 1
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": "1773792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1811845522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3516 FRANCIS LEWIS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3516 FRANCIS LEWIS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581954",
"telephone_number": "718-400-3376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH ATLANTIC DERMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "CAREY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "646-580-1210"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.