Magnolia Dermatology, PLLC
NPI 1932889102 · Dermatology Physician · Latham, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magnolia Dermatology, PLLC is a Dermatology Physician organization in Latham, NY (NPI 1932889102).
Provider details
- NPI number
- 1932889102
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Virginia Tracey, Member(518) 888-2012
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
2 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
- 2023-07-21
- Last updated
- 2024-05-13
- Certified
- 2024-05-13
Frequently asked questions
- What is Magnolia Dermatology, PLLC's NPI number?
- Magnolia Dermatology, PLLC's National Provider Identifier (NPI) is 1932889102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Dermatology, PLLC?
- Magnolia Dermatology, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Magnolia Dermatology, PLLC located?
- Magnolia Dermatology, PLLC's practice location on file with NPPES is 582 New Loudon Rd, Latham, NY 12110-4059.
- What is Magnolia Dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Dermatology, PLLC is (518) 888-2012.
- Does Magnolia Dermatology, PLLC accept Medicare?
- Magnolia Dermatology, 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 Magnolia Dermatology, PLLC?
- The authorized official listed on Magnolia Dermatology, PLLC's NPPES record is Virginia Tracey, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Dermatology, PLLC's NPI active?
- Yes — Magnolia Dermatology, PLLC's NPI (1932889102) is active in the NPPES registry as of the last update on 2024-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.