Atlantic Dermatologic Associates, LLP

Primary specialty

SpecialistTaxonomy code 174400000X

License

146498-1 Issued in NY

Legal business name

ATLANTIC DERMATOLOGIC ASSOCIATES, LLP

Practice address

2270 Kimball St
Suite 201
Brooklyn, NY 11234-5139

Phone

(718) 253-4550

Fax

(718) 253-6430

NPI assigned

May 7, 2008

Last updated

May 7, 2021By 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. Marvin Brian Tankel, M.D.NPI 1700885290

Title

Partner

Phone

(516) 599-4242

Specialties & licenses 1

Addresses

Tax ID family

Atlantic Dermatologic Associates LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Atlantic Dermatologic Associates LLP

  • Specialist
  • Lynbrook, NY
  • NPI 1306012737
  NPD tax ID
• Atlantic Dermatologic Associates, LLP

  • Specialist
  • Bellmore, NY
  • NPI 1750557914
  NPD tax ID

Locations

Practitioners 8

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.

• Marvin Brian Tankel, M.D.

  • Dermatology Physician
  • Lynbrook, NY
  • NPI 1700885290
  NPD (past) Authorized official
• Yafit Azizian, P.A.

  • Medical Physician Assistant
  • Brooklyn, NY
  • NPI 1245568062
  NPD (past)
• Mary Catherine Gallagher

  • Physician Assistant
  • Howard Beach, NY
  • NPI 1457065997
  NPD (past)
• Mark R Kahn, M.D.

  • Dermatology Physician
  • Valley Stream, NY
  • NPI 1023017464
  NPD (past)
• Eric S. Mager, M.D.,F.A.C.S.

  • Specialist
  • Great Neck, NY
  • NPI 1447335328
  NPD (past)
• Mary Ann Pelzer, RPAC

  • Dermatology Physician
  • Selden, NY
  • NPI 1295821155
  NPD (past)
• Steven Ira Simon, M.D.

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1154329472
  NPD (past)
• Pradip Bhattacharjee, M.D.

  • Dermatopathology (Pathology) Physician
  • Holmdel, NJ
  • NPI 1124351747
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1922274182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MERRICK RD STE LL2",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632400",
            "telephone_number": "516-599-4242",
            "fax_number": "516-599-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 KIMBALL ST",
            "address_2": "SUITE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345139",
            "telephone_number": "718-253-4550",
            "fax_number": "718-253-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DERMATOLOGIC ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "TANKEL",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-599-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "146498-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Avenue Radiology PC
• Atlantic Barclays Pharmacy Inc
• Atlantic Cardiovascular Associates PLLC
• Atlantic Chiropractic of New York PC
• Atlantic Dental Care, P.C.
• Atlantic Drugs Inc (Hoyt Pharmacy)
• Atlantic Gastroenterology, P.C.
• Atlantic Heights Pharmacy Inc
• Atlantic Heights Specialty Script Corp (Atlantic Heights Pharmacy)
• Atlantic Medical PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.