Advanced Dermatology of Coop City PC
NPI 1811207210ActiveOrganization· Specialist· Bronx, NY
Specialist in Bronx, New York, registered in NPPES in October 2010. The authorized official on file is Lawrence D. Jaeger, D.O, Medical Director.
Overview
| NPI | 1811207210 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2010 |
| Last updated in NPPES | Oct 19, 2010 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Specialist providers in Bronx
- 1083691539
- 1780424812
- 1497017552
- 1598195695
- 1477863876
- 1417661067
- 1891865614
- 1154954493
- 1851646772
- 1629358908
- 1265643001
- 1174554992