OrganizationActive
Advanced Dermatology of Coop City PC
NPI 1811207210 · Specialist · Bronx, NY
Provider details
- NPI number
- 1811207210
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lawrence Jaeger, Medical Director(212) 262-2500
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2100 Bartow Ave
Suite 211
Bronx, NY 10475-4614
Phone: (718) 671-1000
Fax: (212) 765-3210
Street-level locationGet directions
Mailing address
200 Central Park S
New York, NY 10019-1436
Other names (DBA / former)
- Doing business as
- Advanced Dermatology Associates
Registry dates
- Enumerated
- 2010-10-19
- Last updated
- 2010-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.