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Radiant Skin Dermatology and Laser,Pllc

Dermatology Physician in New York, NY · enumerated 2012 · authorized official Adebola Dele-Michael, Owner.

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

National Provider Identifier

1861738460

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Registry record

Entity type Organization (Type 2)
Legal business name Radiant Skin Dermatology and Laser,Pllc
Practice address 207 W 115th St Lowr Level, New York, NY, 10026
Fax (347) 274-8349
Enumeration date Dec 31, 2012
Last updated in NPPES Mar 4, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 256265 (NY) Primary

Authorized official

Name Adebola Dele-Michael
Title Owner

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Radiant Skin Dermatology and Laser,Pllc?
Radiant Skin Dermatology and Laser,Pllc is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-04.