OrganizationActive
Advanced Dermatology of New York PC
NPI 1518964923 · Dermatology Physician · Bronx, NY
Advanced Dermatology of New York PC is a Dermatology Physician organization in Bronx, NY (NPI 1518964923).
Provider details
- NPI number
- 1518964923
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lawrence Jaeger, Officer(212) 262-2500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
2100 Bartow Ave
Ste 211
Bronx, NY 10475-4614
Phone: (718) 865-0515
Fax: (212) 246-0890
Street-level locationGet directions
Mailing address
200 Central Park South
New York, NY 10019
Other names (DBA / former)
- Doing business as
- Advanced Dermatology Associates
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2022-07-21
Frequently asked questions
- What is Advanced Dermatology of New York PC's NPI number?
- Advanced Dermatology of New York PC's National Provider Identifier (NPI) is 1518964923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology of New York PC?
- Advanced Dermatology of New York PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Dermatology of New York PC located?
- Advanced Dermatology of New York PC's practice location on file with NPPES is 2100 Bartow Ave, Bronx, NY 10475-4614.
- What is Advanced Dermatology of New York PC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology of New York PC is (718) 865-0515.
- Who is the authorized official for Advanced Dermatology of New York PC?
- The authorized official listed on Advanced Dermatology of New York PC'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 PC's NPI active?
- Yes — Advanced Dermatology of New York PC's NPI (1518964923) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.