Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

21st Century Dermatology, PLLC

Organization Dermatology Physician · NPI 1558509448

21st Century Dermatology, PLLC is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

133 E 58th St Ste 502
New York, NY 10022-1236
Phone: (212) 644-4440
Fax: (212) 644-4447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 231240 (NY)

Record details

NPI number1558509448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Diaz — Billing Manager · (646) 576-5688
NPI enumeratedJanuary 30, 2009
Last updated in NPPESJanuary 30, 2009
Mailing address133 E 58th St, Suite 502, New York, NY 10022-1236

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