Individual provider Active NPI

Avi Bitterman

  • Dermatopathology Physician
  • Woodmere, NY
National Provider Identifier
1851755490
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
289933 Issued in NY
Practice address
217 Steven PL
Woodmere, NY 11598-2532
Phone
(516) 281-4814
NPI assigned
Apr 10, 2016
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 289933 NY
Dermatopathology Physician 207ND0900X 289933 NY Primary

Addresses

Primary practice location

217 Steven PL
Woodmere, NY 11598-2532

Mailing address

217 Steven PL
Woodmere, NY 11598-2532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20250721000511 PA Practitioner - PathologyPractitioner - Dermatology 7810403599 Reassigns benefits to 1 organization
I20250725002745 NJ Practitioner - Pathology 7810403599 Reassigns benefits to 1 organization
I20251201001049 MN Practitioner - DermatologyPractitioner - Pathology 7810403599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Certified Dermatology PCGroup PAC ID 9931492287, shared by 2 NPIs, 38 clinicians

Practice addresses (Care Compare)

26 Hwy 35 N
Neptune, NJ 07753-4743
Phone (732) 456-7777

2895 Hamilton Blvd
Suite 202
Allentown, PA 18104-6172
Phone (732) 456-7777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289933NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC Dermatology CurrentSince Apr 17, 2025 Accepting new patients
NJ Certified Dermatology PC Dermatology CurrentSince Jun 1, 2025 Accepting new patients
Skin Care Doctors, P.a. CurrentSince Oct 18, 2025 Accepting new patients
Reese Surgical Group PLLC PastSince Feb 6, 2008 Accepting new patients

Locations

16105 S La Grange Rd
Orland Park, IL 60467
Phone (708) 636-3767

14000 Nicollet Ave
Ste 304
Burnsville, MN 55337
Phone (952) 898-1600

1350 Lesauk Dr
Sartell, MN 56377
Phone (320) 252-7546

1907 Wayzata Blvd
Ste 350
Wayzata, MN 55391
Phone (952) 989-1600

200 Middlesex Tpke
Ste 206
Iselin, NJ 08830
Phone (732) 353-1727

26 State Route 35 N
Neptune, NJ 07753
Phone (732) 643-6299

200 Perrine Rd
Ste 226
Old Bridge, NJ 08857

1580 Lakewood Rd
Ste 16
Toms River, NJ 08755

1580 Lakewood Rd
Ste 16A
Toms River, NJ 08755
Phone (732) 966-5493

2275 Route 33
Ste 303
Trenton, NJ 08690
Phone (609) 838-6100

2895 Hamilton Blvd
Ste 202
Allentown, PA 18104
Phone (610) 432-8312

281 N 12th St
Ste 2B
Lehighton, PA 18235
Phone (610) 377-0990

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1851755490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 STEVEN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 STEVEN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982532",
            "telephone_number": "516-281-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTERMAN",
        "first_name": "AVI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-10",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "289933",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "289933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.