Procedural Dermatology PC
NPI 1164299004 · Dermatology Physician · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Procedural Dermatology PC is a Dermatology Physician organization in New York, NY (NPI 1164299004).
Provider details
- NPI number
- 1164299004
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Irene Vergilis-Kalner, President(917) 804-4553
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 3773 103rd StCorona, NY 11368-3465Phone: (718) 255-7546Fax: (917) 975-6272
Registry dates
- Enumerated
- 2023-12-11
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Frequently asked questions
- What is Procedural Dermatology PC's NPI number?
- Procedural Dermatology PC's National Provider Identifier (NPI) is 1164299004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Procedural Dermatology PC?
- Procedural Dermatology PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Procedural Dermatology PC located?
- Procedural Dermatology PC's practice location on file with NPPES is 4925 Broadway, New York, NY 10034-3101.
- What is Procedural Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Procedural Dermatology PC is (718) 255-7546.
- Does Procedural Dermatology PC accept Medicare?
- Procedural Dermatology PC 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 Procedural Dermatology PC?
- The authorized official listed on Procedural Dermatology PC's NPPES record is Irene Vergilis-Kalner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Procedural Dermatology PC's NPI active?
- Yes — Procedural Dermatology PC's NPI (1164299004) is active in the NPPES registry as of the last update on 2024-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.