Cloudlake Dermatology Pllc
Cloudlake Dermatology Pllc is a healthcare organization registered as Dermatology Physician in Jericho, NY, holding Type 2 (organization) NPI 1083164354 since 2016. The authorized official on file is Sarika Banker, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083164354 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cloudlake Dermatology Pllc |
| Practice address | 400 N BROADWAY, Jericho, NY, 11753 |
| Phone | 5169926350 |
| Enumeration date | 2016-10-10 |
| Last updated in NPPES | 2017-11-20 |
Authorized official
| Name | Sarika Banker |
|---|---|
| Title | Owner |
| Phone | 5169926350 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | 263656-1 | NY |
Copy-ready billing details
Provider: Cloudlake Dermatology Pllc NPI: 1083164354 Taxonomy: 207N00000X (Dermatology Physician) Address: 400 N BROADWAY, Jericho, NY, 11753
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447253000 | Louis Obergh | Individual | Physical Therapist | Jericho, NY |
| 1033251301 | Jaime Philip | Individual | Physical Therapist | Jericho, NY |
| 1639330855 | Sarika Banker | Individual | Dermatology Physician | Jericho, NY |
| 1679862171 | Kunal Saggar | Individual | General Practice Dentistry | Jericho, NY |
| 1376812768 | Byeong Choi | Individual | General Practice Dentistry | Jericho, NY |
| 1225419047 | Vishal Saggar | Individual | Dermatology Physician | Jericho, NY |
| 1912444050 | Cloudlake Dental Pllc | Organization | General Practice Dentistry | Jericho, NY |
Verify this record
Cross-check NPI 1083164354 against the authoritative CMS record: view Cloudlake Dermatology Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Cloudlake Dermatology Pllc?
Who is the authorized official for Cloudlake Dermatology Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-11-20.