Bodian Dermatology Group, P.C
NPI 1659412104 · Specialist · Great Neck, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bodian Dermatology Group, P.C is a Specialist organization in Great Neck, NY (NPI 1659412104).
Provider details
- NPI number
- 1659412104
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Adam Bodian, President(516) 482-2882
- License
- 176289 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2008-05-29
Frequently asked questions
- What is Bodian Dermatology Group, P.C's NPI number?
- Bodian Dermatology Group, P.C's National Provider Identifier (NPI) is 1659412104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bodian Dermatology Group, P.C?
- Bodian Dermatology Group, P.C is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Bodian Dermatology Group, P.C located?
- Bodian Dermatology Group, P.C's practice location on file with NPPES is 11 Grace Ave, Great Neck, NY 11021-2417.
- What is Bodian Dermatology Group, P.C's phone number?
- The practice phone number listed in the NPPES registry for Bodian Dermatology Group, P.C is (516) 482-2882.
- Does Bodian Dermatology Group, P.C accept Medicare?
- Bodian Dermatology Group, P.C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bodian Dermatology Group, P.C?
- The authorized official listed on Bodian Dermatology Group, P.C's NPPES record is Adam Bodian, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bodian Dermatology Group, P.C's NPI active?
- Yes — Bodian Dermatology Group, P.C's NPI (1659412104) is active in the NPPES registry as of the last update on 2008-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.