Garden City Dermatology, PC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

GARDEN CITY DERMATOLOGY, PC

Practice address

877 Stewart Ave
Suite 29
Garden City, NY 11530-4803

Phone

(516) 227-3376

Fax

(516) 227-3378

NPI assigned

Mar 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theodore J Daly, M.D.NPI 1518965441

Title

President

Phone

(516) 227-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore J Daly, M.D.

  • Legal Medicine
  • Garden City, NY
  • NPI 1518965441
  Medicare reassignment Care Compare group NPD Authorized official
• Wayne Luo, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1346267192
  Medicare reassignment Care Compare group NPD
• Lotika Singh, M.D.

  • Internal Medicine Physician
  • Garden City, NY
  • NPI 1023342748
  Medicare reassignment Care Compare group NPD
• Elizabeth A Munnie, RPA-C

  • Medical Physician Assistant
  • Garden City, NY
  • NPI 1396968525
  Medicare reassignment Care Compare group
• Jessica Newburger, D.O

  • Dermatology Physician
  • Roslyn, NY
  • NPI 1215215355
  Medicare reassignment NPD
• Filomena Abitino, RPA C

  • Physician Assistant
  • Merrick, NY
  • NPI 1922167121
  NPD (past)
• Tan Duy Nguyen, PA-C

  • Physician Assistant
  • Garden City, NY
  • NPI 1306264833
  NPD (past)
• Nicole Josephine Tuffarelli, PA-C

  • Medical Physician Assistant
  • Garden City, NY
  • NPI 1104988542
  NPD (past)
• Kim Myruth Nichols, M.D.

  • Dermatology Physician
  • Greenwich, CT
  • NPI 1679513212
  NPD (past)
• Azita Simoni, MD

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1366418931
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881653194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 STEWART AVE",
            "address_2": "SUITE 29",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304803",
            "telephone_number": "516-227-3376",
            "fax_number": "516-227-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 STEWART AVE",
            "address_2": "SUITE 29",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304803",
            "telephone_number": "516-227-3376",
            "fax_number": "516-227-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-227-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden City Chemists Inc
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• Garden City Dentistry PC
• Garden City Dermatology, PC
• Garden City Endodontics, PLLC
• Garden City Mall Vision Express LLC
• Garden City Maternal-Fetal Medicine P.C
• Garden City Medical Office PLLC
• Garden City Neurology PC

• Dermatopathology Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Dermatopathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.