Advanced Dermatology of New York PC
NPI 1386078236ActiveOrganization· Specialist· New York, NY
Specialist in New York, New York, registered in NPPES in August 2013. The authorized official on file is Lawrence Jaeger, D.O, Chief Executive Officer.
Overview
| NPI | 1386078236 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2013 |
| Last updated in NPPES | Aug 28, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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