Skin Essentials Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN ESSENTIALS DERMATOLOGY PC

Practice address

13336 41St Rd Ste 2M
Flushing, NY 11355-3666

Phone

(718) 463-0093

Fax

(718) 463-0486

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Winifred S Chu, DONPI 1356639934

Title

Dermatologist

Phone

(718) 463-0093

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00271

Practitioners 3

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

• Winifred S Chu, D.O.

  • Dermatology Physician
  • Far Rockaway, NY
  • NPI 1356639934
  Medicare reassignment NPD Authorized official
• Jyming Wang, M.D.

  • Hematology & Oncology Physician
  • Flushing, NY
  • NPI 1851456669
  NPD
• Vincent P Chua, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1841278579
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1992260640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403041",
            "telephone_number": "718-926-5154",
            "fax_number": "718-463-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13336 41ST RD STE 2M",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553666",
            "telephone_number": "718-463-0093",
            "fax_number": "718-463-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN ESSENTIALS DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "718-463-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Flushing, NY
• Providers in Flushing, 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 Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.