Long Island Skin Cancer & Dermatologic Surgery, PC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

LONG ISLAND SKIN CANCER & DERMATOLOGIC SURGERY, PC

Practice address

994 W Jericho Tpke
Suite 103
Smithtown, NY 11787-3235

Phone

(631) 864-6647

Fax

(631) 864-6001

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Marcia Hollander

Title

Practice Manager

Phone

(631) 864-6647

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Jacobson, M.D.

  • Dermatology Physician
  • Stamford, CT
  • NPI 1649352964
  NPD (past)
• David Alvin Lee, M.D.

  • Dermatology Physician
  • Damascus, MD
  • NPI 1427263441

  Procedural Dermatology

  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1851595094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE",
            "address_2": "SUITE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873235",
            "telephone_number": "631-864-6647",
            "fax_number": "631-864-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE",
            "address_2": "SUITE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873235",
            "telephone_number": "631-864-6647",
            "fax_number": "631-864-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND SKIN CANCER & DERMATOLOGIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "631-864-6647"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Neurological, PC
• Long Island Psychiatric Services - NP in Psychiatry, PLLC
• Long Island Psychiatry, PC
• Long Island Select Healthcare, Inc.
• Long Island Select Healthcare, Inc.
• Long Island Skin Cancer and Dermatologic Surgery, PC
• Long Island Vascular and Endovascular Surgery PC
• Michael Long I
• Stephen Longo
• Felicia Lopinto

• Procedural Dermatology Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.