Park Avenue Dermatology, PC
NPI 1730393042 · Specialist · Staten Island, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Park Avenue Dermatology, PC is a Specialist organization in Staten Island, NY (NPI 1730393042).
Provider details
- NPI number
- 1730393042
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Dominick Ligresti, Doctor(718) 981-5040
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
- 2007-05-09
- Last updated
- 2017-02-02
Frequently asked questions
- What is Park Avenue Dermatology, PC's NPI number?
- Park Avenue Dermatology, PC's National Provider Identifier (NPI) is 1730393042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Avenue Dermatology, PC?
- Park Avenue Dermatology, PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Park Avenue Dermatology, PC located?
- Park Avenue Dermatology, PC's practice location on file with NPPES is 31 Tioga St, Staten Island, NY 10301-4329.
- What is Park Avenue Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Park Avenue Dermatology, PC is (718) 981-5040.
- Does Park Avenue Dermatology, PC accept Medicare?
- Park Avenue Dermatology, PC 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 Park Avenue Dermatology, PC?
- The authorized official listed on Park Avenue Dermatology, PC's NPPES record is Dominick Ligresti, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Avenue Dermatology, PC's NPI active?
- Yes — Park Avenue Dermatology, PC's NPI (1730393042) is active in the NPPES registry as of the last update on 2017-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.