Organization Active NPI

Nina C. Dermatology P.C.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1831493915
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NINA C. DERMATOLOGY P.C.
Practice address
561 10TH Ave
Suite 46D
New York, NY 10036-3033
Phone
(212) 980-9292
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Ms. Nina C. Dermatology, M.D.
Title
Owner
Phone
(212) 980-9292

Specialties & licenses 1

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

Addresses

Primary practice location

561 10TH Ave
Suite 46D
New York, NY 10036-3033

Mailing address

561 10TH Ave
Suite 46D
New York, NY 10036-3033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1831493915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 10TH AVE",
            "address_2": "SUITE 46D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 10TH AVE",
            "address_2": "SUITE 46D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363033",
            "telephone_number": "212-980-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA C. DERMATOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "DERMATOLOGY",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-980-9292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "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 Jan 4, 2011; 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.