Radiant Skin Dermatology and Laser,pllc
NPI 1861738460 · Dermatology Physician · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Radiant Skin Dermatology and Laser,pllc is a Dermatology Physician organization in New York, NY (NPI 1861738460).
Provider details
- NPI number
- 1861738460
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adebola Dele-Michael, Owner(212) 229-0007
- License
- 256265 (NY)
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
13 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
- 2012-12-31
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Frequently asked questions
- What is Radiant Skin Dermatology and Laser,pllc's NPI number?
- Radiant Skin Dermatology and Laser,pllc's National Provider Identifier (NPI) is 1861738460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiant Skin Dermatology and Laser,pllc?
- Radiant Skin Dermatology and Laser,pllc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Radiant Skin Dermatology and Laser,pllc located?
- Radiant Skin Dermatology and Laser,pllc's practice location on file with NPPES is 207 W 115th St Lowr Level, New York, NY 10026-2965.
- What is Radiant Skin Dermatology and Laser,pllc's phone number?
- The practice phone number listed in the NPPES registry for Radiant Skin Dermatology and Laser,pllc is (212) 229-0007.
- Does Radiant Skin Dermatology and Laser,pllc accept Medicare?
- Radiant Skin Dermatology and Laser,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 Radiant Skin Dermatology and Laser,pllc?
- The authorized official listed on Radiant Skin Dermatology and Laser,pllc's NPPES record is Adebola Dele-Michael, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiant Skin Dermatology and Laser,pllc's NPI active?
- Yes — Radiant Skin Dermatology and Laser,pllc's NPI (1861738460) is active in the NPPES registry as of the last update on 2024-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.