Mack Dermatology, P.C.
NPI 1720485808 · Specialist · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mack Dermatology, P.C. is a Specialist organization in New York, NY (NPI 1720485808).
Provider details
- NPI number
- 1720485808
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lian Mack, Owner(917) 912-3615
- License
- 245368 (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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Glamderm
Registry dates
- Enumerated
- 2014-12-04
- Last updated
- 2014-12-04
Frequently asked questions
- What is Mack Dermatology, P.C.'s NPI number?
- Mack Dermatology, P.C.'s National Provider Identifier (NPI) is 1720485808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mack Dermatology, P.C.?
- Mack Dermatology, P.C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mack Dermatology, P.C. located?
- Mack Dermatology, P.C.'s practice location on file with NPPES is 130 E 18th St, New York, NY 10003-2416.
- What is Mack Dermatology, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Mack Dermatology, P.C. is (917) 912-3615.
- Does Mack Dermatology, P.C. accept Medicare?
- Mack Dermatology, 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 Mack Dermatology, P.C.?
- The authorized official listed on Mack Dermatology, P.C.'s NPPES record is Lian Mack, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mack Dermatology, P.C.'s NPI active?
- Yes — Mack Dermatology, P.C.'s NPI (1720485808) is active in the NPPES registry as of the last update on 2014-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.