Long Island Medical & Cosmetic Dermatology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2108421 Issued in NY

Legal business name

LONG ISLAND MEDICAL & COSMETIC DERMATOLOGY, PC

Practice address

755 Park Ave
Suite 500
Huntington, NY 11743-3975

Phone

(631) 271-2769

Fax

(631) 271-1730

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Warren Sherer, MDNPI 1477548261

Title

Physician

Phone

(631) 271-2769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Daniel Warren Sherer, M.D.

  • Specialist
  • Huntington, NY
  • NPI 1477548261
  Medicare reassignment Care Compare group NPD Authorized official
• Todd R. Coven, M.D.

  • MOHS-Micrographic Surgery Physician
  • Huntington Station, NY
  • NPI 1215943121
  Medicare reassignment Care Compare group NPD
• Khawaja Ali Hassan, M.D.

  • Plastic Surgery Physician
  • Rockville Centre, NY
  • NPI 1639265416

  Specialist

  Medicare reassignment Care Compare group NPD
• Xuan Wang, M.D. PH.D.

  • Anatomic Pathology Physician
  • Woodbury, NY
  • NPI 1578706032
  Medicare reassignment Care Compare group NPD
• David Jeffrey Antell, D.O.

  • Plastic Surgery Physician
  • Woodbury, NY
  • NPI 1588734735
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1922017797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 PARK AVE",
            "address_2": "SUITE 500",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433975",
            "telephone_number": "631-271-2769",
            "fax_number": "631-271-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 PARK AVE",
            "address_2": "SUITE 500",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433975",
            "telephone_number": "631-271-2769",
            "fax_number": "631-271-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Oyster Bay Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013500",
            "country_code": "US",
            "telephone_number": "516-433-3200",
            "fax_number": "516-336-5381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG ISLAND MEDICAL & COSMETIC DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SHERER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-271-2769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2108421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Lombardo, D.C,CDN
• London Optical of the North Shore, Inc.
• Long Island Hand & Orthopedic Surgery Center, LLC
• Long Island Infectious Disease Associates, LLP
• Long Island Infectious Disease Associates, P.C.
• Long Island Medical Pain Management P.C.
• Long Island Mind Medical PLLC
• Long Island Obesity Surgery, PC
• Long Island Oral Surgery Associates PC
• Long Island Otolaryngology and Pediatric Airway, PC

• Specialist in Huntington, NY
• Providers in Huntington, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.