South Nassau Dermatology
NPI 1215125760ActiveOrganization· Specialist· Levittown, NY
Specialist in Levittown, New York, registered in NPPES in October 2007. The authorized official on file is Gloria Buchholz, Bookkeeper.
Overview
| NPI | 1215125760 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2007 |
| Last updated in NPPES | Nov 5, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 126210 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 78 Specialist providers in Levittown · All Specialist providers in New York