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

Advanced Dermatology of New York PC

Organization Dermatology Physician · NPI 1518964923

Advanced Dermatology of New York PC is a Dermatology Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 Bartow Ave Ste 211
Bronx, NY 10475-4614
Phone: (718) 865-0515
Fax: (212) 246-0890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (NY)

Record details

NPI number1518964923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jaeger — Officer · (212) 262-2500
Other names Advanced Dermatology Associates
NPI enumeratedJune 30, 2005
Last updated in NPPESJuly 21, 2022
Mailing address200 Central Park South, Ste 107, New York, NY 10019

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