GOLDMAN DERMATOLOGY PLLC NPI 1154311900

NPI Information

  • NPI: 1154311900
  • Provider Name: GOLDMAN DERMATOLOGY, PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 33D1048988
  • Address: 150 BROADWAY
    SUITE 1110
    NEW YORK, NY
    ZIP 10038
  • Phone: (212) 962-1115

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NPI Details

GOLDMAN DERMATOLOGY, PLLC is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GOLDMAN DERMATOLOGY, PLLC NPI is 1154311900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 BROADWAY
SUITE 1110
NEW YORK, NY
ZIP 10038-381
Phone: (212) 962-1115
Fax: (212) 962-1246

The provider's authorized official is Barry D Goldman .
The authorized official title is Owner and has the following contact phone number (212) 962-1115.

The CLIA number assigned to this NPI record is 33D1048988 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 5/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist188106-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WCW741MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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