Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Advanced Dermatology of New York PC

Organization Dermatology Physician · NPI 1083610521

Advanced Dermatology of New York PC provides Dermatology Physician services in New York, New York. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Central Park S Ste 107
New York, NY 10019-1449 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 262-2500
Fax: (212) 246-0890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1083610521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jaeger — Officer · (212) 262-2500
Other names Advanced Dermatology Associates
NPI enumeratedJune 21, 2005
Last updated in NPPESDecember 10, 2014
Mailing address200 Central Park S, Ste 107, New York, NY 10019-1449

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