Active Dermatology PLLC
NPI 1720750573 · Dermatology Physician · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Dermatology PLLC is a Dermatology Physician organization in Brooklyn, NY (NPI 1720750573).
Provider details
- NPI number
- 1720750573
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Camille Howard-Verovic, Owner(201) 743-9134
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-09-30
- Last updated
- 2022-09-27
- Certified
- 2022-09-27
Frequently asked questions
- What is Active Dermatology PLLC's NPI number?
- Active Dermatology PLLC's National Provider Identifier (NPI) is 1720750573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Dermatology PLLC?
- Active Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Active Dermatology PLLC located?
- Active Dermatology PLLC's practice location on file with NPPES is 488 Decatur St Apt 2, Brooklyn, NY 11233-6682.
- What is Active Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Active Dermatology PLLC is (201) 743-9134.
- Does Active Dermatology PLLC accept Medicare?
- Active Dermatology PLLC 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 Active Dermatology PLLC?
- The authorized official listed on Active Dermatology PLLC's NPPES record is Camille Howard-Verovic, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Dermatology PLLC's NPI active?
- Yes — Active Dermatology PLLC's NPI (1720750573) is active in the NPPES registry as of the last update on 2022-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.