Clark Dermatology, LLC
NPI 1417316274 · Dermatology Physician · Staten Island, NY
Clark Dermatology, LLC is a Dermatology Physician organization in Staten Island, NY (NPI 1417316274).
Provider details
- NPI number
- 1417316274
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alexander Doctoroff, Owner(732) 574-1399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
Other names (DBA / former)
- Doing business as
- Metropolitan Dermatology
Registry dates
- Enumerated
- 2016-02-22
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Frequently asked questions
- What is Clark Dermatology, LLC's NPI number?
- Clark Dermatology, LLC's National Provider Identifier (NPI) is 1417316274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark Dermatology, LLC?
- Clark Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Clark Dermatology, LLC located?
- Clark Dermatology, LLC's practice location on file with NPPES is 1324 Victory Blvd, Staten Island, NY 10301-3917.
- What is Clark Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clark Dermatology, LLC is (718) 448-4488.
- Who is the authorized official for Clark Dermatology, LLC?
- The authorized official listed on Clark Dermatology, LLC's NPPES record is Alexander Doctoroff, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark Dermatology, LLC's NPI active?
- Yes — Clark Dermatology, LLC's NPI (1417316274) is active in the NPPES registry as of the last update on 2025-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.