OrganizationActive
Ny Dermatology Associates PLLC
NPI 1861039240 · MOHS-Micrographic Surgery Physician · New York, NY
Provider details
- NPI number
- 1861039240
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Travis, Owner(212) 769-0069
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
277 W End Ave Apt 1b
New York, NY 10023-2605
Phone: (212) 769-0069
Street-level locationGet directions
Mailing address
277 W End Ave Apt 1b
New York, NY 10023-2605
Registry dates
- Enumerated
- 2019-12-05
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.