OrganizationActive
Ithaca Dermatology PLLC
NPI 1790979417 · Dermatology Physician · Ithaca, NY
Ithaca Dermatology PLLC is a Dermatology Physician organization in Ithaca, NY (NPI 1790979417).
Provider details
- NPI number
- 1790979417
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Silvers, Owner(607) 256-7546
- License
- 220803 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
821 Cliff Street
Ithaca, NY 14850
Phone: (607) 256-7546
Fax: (607) 256-0049
Street-level locationGet directions
Mailing address
202 Taughannock Blvd
Ithaca, NY 14851
Registry dates
- Enumerated
- 2007-09-06
- Last updated
- 2010-01-27
Frequently asked questions
- What is Ithaca Dermatology PLLC's NPI number?
- Ithaca Dermatology PLLC's National Provider Identifier (NPI) is 1790979417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ithaca Dermatology PLLC?
- Ithaca Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Ithaca Dermatology PLLC located?
- Ithaca Dermatology PLLC's practice location on file with NPPES is 821 Cliff Street, Ithaca, NY 14850.
- What is Ithaca Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ithaca Dermatology PLLC is (607) 256-7546.
- Who is the authorized official for Ithaca Dermatology PLLC?
- The authorized official listed on Ithaca Dermatology PLLC's NPPES record is Kimberly Silvers, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ithaca Dermatology PLLC's NPI active?
- Yes — Ithaca Dermatology PLLC's NPI (1790979417) is active in the NPPES registry as of the last update on 2010-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.