Capital District Dermatology Associates PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CAPITAL DISTRICT DERMATOLOGY ASSOCIATES PC

Practice address

450 Route 9W
Glenmont, NY 12077-3327

Phone

(518) 434-8121

Fax

(518) 426-0620

NPI assigned

Oct 20, 2006

Last updated

Oct 6, 2025By 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

Jerome HillNPI 1174605760

Title

MD

Phone

(518) 434-8121

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Jerome C Hill, MD

  • Dermatology Physician
  • Albany, NY
  • NPI 1174605760
  Medicare reassignment Care Compare group NPD Authorized official
• McKenzie Ellen Conroy, FNP

  • Family Nurse Practitioner
  • Castleton, NY
  • NPI 1740766039
  Medicare reassignment Care Compare group NPD
• Andrew Larsen, PA-C

  • Medical Physician Assistant
  • Albany, NY
  • NPI 1669841920
  Medicare reassignment Care Compare group
• Alexis Weymann Perlmutter, M.D.

  • Pediatric Dermatology Physician
  • Delmar, NY
  • NPI 1548490865
  Medicare reassignment NPD
• Judith A Mysliborski, MD

  • Dermatology Physician
  • Albany, NY
  • NPI 1538241112
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1932281524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773327",
            "telephone_number": "518-434-8121",
            "fax_number": "518-426-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773327",
            "telephone_number": "518-434-8121",
            "fax_number": "518-426-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DISTRICT DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "518-434-8121"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF7151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luann M Alimena, LCSW-R
• Alyssa Schaffer Speech- Language Pathology PLLC,
• Ayar Express LLC
• Sidney M Balick, RPH
• Treva Renee Braisted, RPH
• Elizabeth Chapman
• Alexandra Chinea, LCSW
• Brimicqi Abasi Shani Collison, DDS
• Jamie J Colloton
• Jennifer Ann Colwill, PT

• Dermatology Physician in Glenmont, NY
• Providers in Glenmont, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.