OrganizationActive
Advanced Dermatology of the Bronx PC
NPI 1477863876 · Specialist · Bronx, NY
Advanced Dermatology of the Bronx PC is a Specialist organization in Bronx, NY (NPI 1477863876).
Provider details
- NPI number
- 1477863876
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lawrence Jaeger, Medical Director(212) 262-2500
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
291 E 149th St
Bronx, NY 10451-5601
Phone: (718) 742-1000
Fax: (212) 765-3210
Street-level locationGet directions
Mailing address
200 Central Park S
New York, NY 10019-1436
Other names (DBA / former)
- Doing business as
- Advanced Dermatology Associates
Registry dates
- Enumerated
- 2010-10-19
- Last updated
- 2010-10-19
Frequently asked questions
- What is Advanced Dermatology of the Bronx PC's NPI number?
- Advanced Dermatology of the Bronx PC's National Provider Identifier (NPI) is 1477863876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology of the Bronx PC?
- Advanced Dermatology of the Bronx PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Advanced Dermatology of the Bronx PC located?
- Advanced Dermatology of the Bronx PC's practice location on file with NPPES is 291 E 149th St, Bronx, NY 10451-5601.
- What is Advanced Dermatology of the Bronx PC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology of the Bronx PC is (718) 742-1000.
- Who is the authorized official for Advanced Dermatology of the Bronx PC?
- The authorized official listed on Advanced Dermatology of the Bronx PC's NPPES record is Lawrence Jaeger, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology of the Bronx PC's NPI active?
- Yes — Advanced Dermatology of the Bronx PC's NPI (1477863876) is active in the NPPES registry as of the last update on 2010-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.