Dermacare Medical P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DERMACARE MEDICAL P.C.

Practice address

422 Madison Ave
3Rd Floor
New York, NY 10017-1131

Phone

(212) 223-2235

Fax

(212) 759-2585

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Yuriy Yagudin, D.O.

Title

Owner

Phone

(212) 223-2235

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1902088065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MADISON AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171131",
            "telephone_number": "212-223-2235",
            "fax_number": "212-759-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MADISON AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171131",
            "telephone_number": "212-223-2235",
            "fax_number": "212-759-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMACARE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "YAGUDIN",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-223-2235",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02395935",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Derina
• Johanna Derisca
• David Derisse, DMD
• Joie Adam Deritis, LCSW
• Irina Derkacheva, MPS, LCAT
• Debra Jill Dermack, DDS
• Sihar Derman Aquino, MPA
• Dermatologic Surgery of Lexington Ave PC
• Dermatology Circle PLLC
• Dermatology Clinicians Group - Columbia University

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.