Mudgil Dermatology, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MUDGIL DERMATOLOGY, P.C.

Practice address

30 5TH Ave Apt 1D
New York, NY 10011-8803

Phone

(212) 228-2526

Fax

(212) 228-2735

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Adarsh Vijay Mudgil, MDNPI 1205961927

Title

President

Phone

(631) 334-7786

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Adarsh Vijay Mudgil, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1205961927
  Medicare reassignment NPD Authorized official
• Nicholas Edward Broughton, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Hicksville, NY
  • NPI 1568960078
  NPD (past)
• Christina Noel Demartino, RPA-C

  • Physician Assistant
  • New York, NY
  • NPI 1649517632
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1861649519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 5TH AVE APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118803",
            "telephone_number": "212-228-2526",
            "fax_number": "212-228-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 5TH AVE APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118803",
            "telephone_number": "212-228-2526",
            "fax_number": "212-228-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDGIL DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "MUDGIL",
        "authorized_official_first_name": "ADARSH",
        "authorized_official_middle_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-334-7786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Joy Cavin Muckey, M.D.
• Gurpreet Kaur Mudan, M.D.
• Gregory Mudd, LMSW
• Jeremy David Mudd, MD
• Busime Mimy Mudekereza, NP
• Adarsh Vijay Mudgil, M.D.
• Ross Mudgway, MD
• Annie Mudick, LMSW
• Anusha Mudigonda
• Simbarashe S Mudiwa, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.