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 Specialist · NPI 1386078236

Advanced Dermatology of New York PC provides Specialist services in New York, New York. Registered with an NPI since 2013.

In the registry since
2013
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 10019-1436 Not confirmed with CMS for 13 years — call before visiting
Phone: (212) 262-2500
Fax: (212) 765-3210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1386078236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jaeger — Chief Executive Officer · (212) 262-2500
Other names Advanced Dermatology Associates
NPI enumeratedAugust 28, 2013
Last updated in NPPESAugust 28, 2013
Mailing address200 Central Park S, Suite 107, New York, NY 10019-1436

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