Metro Dermatology of Ny,pc
NPI 1336343268ActiveOrganization· Physician Assistant· Flushing, NY
Physician Assistant in Flushing, New York, registered in NPPES in June 2007. The authorized official on file is Hyun Soo Lee, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336343268 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2007 |
| Last updated in NPPES | Aug 21, 2020 |
| Certified by provider | Aug 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 017273 | NY |
| Dermatology | 207N00000X | 270019 | NY |
| Dermatology | 207N00000X | 191741 | NY |
| Dermatology, Dermatopathology | 207ND0900X | 186672 | NY |
| Dermatology, Dermatopathology | 207ND0900X | 258414 | NY |
| Physician Assistant | 363A00000X | 012705 | NY |
| Physician Assistant | 363A00000X | 012529 | NY |
| Physician Assistant | 363A00000X | 015855 | NY |
| Physician Assistant | 363A00000X | 017384 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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