Active Dermatology PLLC
NPI 1720750573ActiveOrganization· Dermatology· Brooklyn, NY
Dermatology in Brooklyn, New York, registered in NPPES in September 2021. The authorized official on file is Camille Howard-Verovic, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720750573 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2021 |
| Last updated in NPPES | Sep 27, 2022 |
| Certified by provider | Sep 27, 2022 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Dermatology providers in Brooklyn
- 1679593164
- 1285872275
- 1811032196
- 1639485469
- 1639332281
- 1003063132
- 1245962489
- 1215331228
- 1285231506
- 1699156554
- 1275353716
- 1750265526