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

Kaylan Pustover, DO

Individual provider Dermatology Physician · NPI 1871901918

Kaylan Pustover, DO is a Dermatology in New York, New York. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2014, 12 years ago. Practices with Hudson Dermatology, PC, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
12
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MI, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4 W 58th St Fl 13
New York, NY 10019-2515
Phone: (212) 431-4749
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 5333 McAuley Dr, Ypsilanti, MI 48197-1014 — (734) 712-3376

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 293128 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 5101021933 (MI)

Record details

NPI number1871901918
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2014 (12 years in practice)
Group practice Hudson Dermatology, Pc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New York