North East Dermatology PLLC
NPI 1164239026 · Dermatology Physician · Flushing, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North East Dermatology PLLC is a Dermatology Physician organization in Flushing, NY (NPI 1164239026).
Provider details
- NPI number
- 1164239026
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carey Kim, Director(646) 580-1210
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-14
- Last updated
- 2024-12-14
- Certified
- 2024-12-14
Frequently asked questions
- What is North East Dermatology PLLC's NPI number?
- North East Dermatology PLLC's National Provider Identifier (NPI) is 1164239026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North East Dermatology PLLC?
- North East Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is North East Dermatology PLLC located?
- North East Dermatology PLLC's practice location on file with NPPES is 3516 Francis Lewis Blvd, Flushing, NY 11358-1954.
- What is North East Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for North East Dermatology PLLC is (646) 580-1210.
- Does North East Dermatology PLLC accept Medicare?
- North East Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for North East Dermatology PLLC?
- The authorized official listed on North East Dermatology PLLC's NPPES record is Carey Kim, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North East Dermatology PLLC's NPI active?
- Yes — North East Dermatology PLLC's NPI (1164239026) is active in the NPPES registry as of the last update on 2024-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.