Great Neck Dermatology, P.C.
NPI 1922054980ActiveOrganization· Specialist· Great Neck, NY
Specialist in Great Neck, New York, registered in NPPES in May 2006. The authorized official on file is Barbara Kaczor, Office Manager.
Overview
| NPI | 1922054980 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2006 |
| Last updated in NPPES | Jan 6, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 103820 | GA |
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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