Clark Dermatology, LLC
NPI 1417316274ActiveOrganization· Dermatology· Staten Island, NY
Dermatology in Staten Island, New York, registered in NPPES in February 2016. The authorized official on file is Alexander Doctoroff, D.O, Owner.
Overview
| NPI | 1417316274 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2016 |
| Last updated in NPPES | May 5, 2025 |
| Certified by provider | May 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
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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