Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Park Avenue Dermatology & Plastic Surgery LLP

Organization MOHS-Micrographic Surgery Physician · NPI 1659373025

Park Avenue Dermatology & Plastic Surgery LLP is an MOHS-Micrographic Surgery Physician in New York, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Specialties on file
3
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

625 Park Ave
New York, NY 10021-6545
Phone: (212) 794-4000
Fax: (212) 794-0231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X (NY)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X (NY)
Procedural Dermatology Physician Taxonomy 207NS0135X (NY)

Record details

NPI number1659373025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Gotkin — Partner · (212) 794-4000
NPI enumeratedAugust 15, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address625 Park Ave, New York, NY 10021-6545

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