Bridgeview Dermatology, PLLC
NPI 1003349986ActiveOrganization· Dermatology, Procedural Dermatology· Staten Island, NY
Dermatology, Procedural Dermatology in Staten Island, New York, registered in NPPES in April 2017. The authorized official on file is Tejas Patel, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003349986 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2017 |
| Last updated in NPPES | Aug 28, 2025 |
| Certified by provider | Aug 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Procedural Dermatology Primary | 207NS0135X | 282042-1 | NY |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 282042- | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Dermatology, Procedural Dermatology providers in Staten Island
- 1710443015
All Dermatology, Procedural Dermatology providers in New York