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Advanced Dermatology of New York PC

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

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

National Provider Identifier

1518964923

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Dermatology of New York PC
Other name <Unavail>
Practice address 2100 Bartow Ave, Ste 211, Bronx, NY, 10475
Phone (718) 865-0515
Fax (212) 246-0890
Enumeration date Jun 30, 2005
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lawrence Jaeger
Title Officer
Phone (212) 262-2500

Other identifiers

Identifier Type State Issuer
1518964923 Other - NPI

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 2022-07-21. Verify at npiregistry.cms.hhs.gov.
Where is Advanced Dermatology of New York PC located?
The practice location on file with NPPES is in Bronx, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.