Advanced Dermatology of New York PC
NPI 1508048240ActiveOrganization· Dermatology· Bronx, NY
Dermatology in Bronx, New York, registered in NPPES in December 2007. The authorized official on file is Lawrence D. Jaeger, D.O., Officer.
Overview
| NPI | 1508048240 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2007 |
| Last updated in NPPES | Dec 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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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