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

Advanced Dermatology of the Bronx PC

Organization Specialist · NPI 1477863876

Advanced Dermatology of the Bronx PC provides Specialist services in Bronx, New York. Registered with an NPI since 2010.

In the registry since
2010
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

291 E 149th St
Bronx, NY 10451-5601 Not confirmed with CMS for 15 years — call before visiting
Phone: (718) 742-1000
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 number1477863876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jaeger — Medical Director · (212) 262-2500
Other names Advanced Dermatology Associates
NPI enumeratedOctober 19, 2010
Last updated in NPPESOctober 19, 2010
Mailing address200 Central Park S, Suite 107, New York, NY 10019-1436

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