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Advanced Dermatology of New York PC

Dermatology Physician in New York, NY · enumerated 2005 · authorized official Lawrence Jaeger, Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083610521

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Dermatology of New York PC
Practice address 200 Central Park S, Ste 107, New York, NY, 10019
Fax (212) 246-0890
Enumeration date Jun 21, 2005
Last updated in NPPES Dec 10, 2014

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lawrence Jaeger
Title Officer

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-10. Verify at npiregistry.cms.hhs.gov.
Where is Advanced Dermatology of New York PC located?
The practice location on file with NPPES is in New York, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-10.