Aesthetic and Surgical Dermatology of New York, P.C.
NPI 1679702740ActiveOrganization· Dermatology· New Hyde Park, NY
Dermatology in New Hyde Park, New York, registered in NPPES in July 2009. The authorized official on file is Carole Hazan, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679702740 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2009 |
| Last updated in NPPES | Jul 16, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 243559 | NY |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 243559 | NY |
| Dermatology, Procedural Dermatology | 207NS0135X | 243559 | 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 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) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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