OrganizationActive
Advanced Dermatology of New York, P.C.
NPI 1497017552 · Specialist · Bronx, NY
Advanced Dermatology of New York, P.C. is a Specialist organization in Bronx, NY (NPI 1497017552).
Provider details
- NPI number
- 1497017552
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lawrence Jaeger, Officer(212) 262-2500
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1455 West Ave
Bronx, NY 10462-7304
Phone: (212) 262-2500
Fax: (212) 765-3210
Street-level locationGet directions
Mailing address
200 Central Park S
New York, NY 10019-1436
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2014-12-08
Frequently asked questions
- What is Advanced Dermatology of New York, P.C.'s NPI number?
- Advanced Dermatology of New York, P.C.'s National Provider Identifier (NPI) is 1497017552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology of New York, P.C.?
- Advanced Dermatology of New York, P.C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Advanced Dermatology of New York, P.C. located?
- Advanced Dermatology of New York, P.C.'s practice location on file with NPPES is 1455 West Ave, Bronx, NY 10462-7304.
- What is Advanced Dermatology of New York, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology of New York, P.C. is (212) 262-2500.
- Who is the authorized official for Advanced Dermatology of New York, P.C.?
- The authorized official listed on Advanced Dermatology of New York, P.C.'s NPPES record is Lawrence Jaeger, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology of New York, P.C.'s NPI active?
- Yes — Advanced Dermatology of New York, P.C.'s NPI (1497017552) is active in the NPPES registry as of the last update on 2014-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.