Individual provider Active NPI

Lilly-Rose Paraskevas, MD

  • Dermatology Physician
  • Astoria, NY
National Provider Identifier
1891991147
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
243252 Issued in NY
Practice address
30-16 30TH Dr
Mezzanine
Astoria, NY 11102-1874
Phone
(718) 728-3376
Fax
(917) 210-6667
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 243252 NY Primary

Addresses

Primary practice location

30-16 30TH Dr
Mezzanine
Astoria, NY 11102-1874

Mailing address

30-16 30TH Drive
Mezzanine
Astoria, NY 11102-1874
Phone (718) 728-3376

Other practice location 1

60 Gramercy Park N Apt 1A
New York, NY 10010-5429
Phone (833) 404-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090319000033 NY Practitioner - Dermatology 8729145750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
JS Weill Medical College, Cornell University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

3016 30TH Dr Mezzanine
Astoria, NY 11102-1874
Phone (718) 728-3376

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

  • Metropolitan Hospital Center Hospital, New York, NY, CCN 330199

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions510
Removal or shaving of skin growth1-10
Skin biopsy135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243252NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Jul 13, 2024 Accepting new patients
Rose Dermatology PC Dermatology CurrentSince Nov 1, 2011 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince May 15, 2024 Accepting new patients
Schweiger Dermatology PLLC Dermatology PastSince Jan 1, 2017 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

60 Gramercy Park N
Apt 1A
New York, NY 10010
Phone (212) 475-7109

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1901 1st Ave
Rm 5M44
New York, NY 10029
Phone (212) 423-6262

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: lparaskevas4037929@nychhc.direct-ci.com
  • Direct secure messaging: lrose@rose.curemd.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1891991147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30-16 30TH DRIVE",
            "address_2": "MEZZANINE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-728-3376",
            "fax_number": "917-210-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-16 30TH DR",
            "address_2": "MEZZANINE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-728-3376",
            "fax_number": "917-210-6667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Gramercy Park N Apt 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100105429",
            "country_code": "US",
            "telephone_number": "833-404-3376",
            "fax_number": "917-719-5421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARASKEVAS",
        "first_name": "LILLY-ROSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "243252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.