OrganizationActive
Park Avenue Dermatology
NPI 1447642103 · Legal Medicine · Staten Island, NY
Park Avenue Dermatology is a Legal Medicine organization in Staten Island, NY (NPI 1447642103).
Provider details
- NPI number
- 1447642103
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Dick, Ofice Manager(718) 981-5040
- License
- 018032 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
31 Tioga St
Staten Island, NY 10301
Phone: (718) 981-5040
Street-level locationGet directions
Mailing address
31 Tioga St
Staten Island, NY 10301
Registry dates
- Enumerated
- 2015-03-04
- Last updated
- 2015-03-04
Frequently asked questions
- What is Park Avenue Dermatology's NPI number?
- Park Avenue Dermatology's National Provider Identifier (NPI) is 1447642103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Avenue Dermatology?
- Park Avenue Dermatology is classified in the NPPES registry as Legal Medicine (Other Service Providers).
- Where is Park Avenue Dermatology located?
- Park Avenue Dermatology's practice location on file with NPPES is 31 Tioga St, Staten Island, NY 10301.
- What is Park Avenue Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Park Avenue Dermatology is (718) 981-5040.
- Who is the authorized official for Park Avenue Dermatology?
- The authorized official listed on Park Avenue Dermatology's NPPES record is Amanda Dick, Ofice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Avenue Dermatology's NPI active?
- Yes — Park Avenue Dermatology's NPI (1447642103) is active in the NPPES registry as of the last update on 2015-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.