Accredited Dermatologic Surgery, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

6417 Issued in NY

Legal business name

ACCREDITED DERMATOLOGIC SURGERY, PC

Practice address

23-83 Bell Blvd
Bayside, NY 11360

Phone

(718) 423-0200

NPI assigned

Mar 14, 2018

Last updated

Mar 14, 2018By 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

Jordan S. Zuckerman, MDNPI 1043205016

Title

Medical Director

Phone

(718) 423-0200

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jordan Spence Zuckerman, M.D.

  • Procedural Dermatology Physician
  • Bayside, NY
  • NPI 1043205016
  NPD Authorized official

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1992208144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-83 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-83 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11360",
            "telephone_number": "718-423-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDITED DERMATOLOGIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-423-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrams DDS, Hollander DMD, and Landau DDS, PC
• Steven Abrams, DDS
• Florentin Adrian Abrudescu, MD
• Absolute Podiatry of Ny, PC
• Aca Acupuncture Bayside P.C.
• Ace Acupuncture & Natural Health
• Lelanie Mendoza Acenas
• Achieveability
• Achieveabilityot
• Achieveable OT, P.C.

• Ambulatory Surgical Clinic/Center in Bayside, NY
• Providers in Bayside, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.