COMPLEXION MEDICAL PLLC
NPI 1497490429
Dermatology in New York, NY
NPI Status: Active since May 04, 2022
- Organization
- Dermatology
- CLIA Number: 33D2272639
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-27-2026
About COMPLEXION MEDICAL PLLC
This page provides the complete NPI Profile along with additional information for Complexion Medical Pllc, a provider established in New York, New York operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1497490429 assigned on May 2022. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Bradley Glodny Md (Dermatologist/owner)
- NPI
- 1497490429
- Provider Name
- COMPLEXION MEDICAL PLLC
- Entity Type
- Organization
- Location Address
- 580 PARK AVE NEW YORK, NY 10065
- Location Phone
- (212) 752-3692
- Mailing Address
- 580 PARK AVE NEW YORK, NY 10065
- Mailing Phone
- (212) 752-3692
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2022
- Last Update Date
- 05-04-2022
- Code Navigator
A dermatologist like Complexion Medical Pllc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2272639
- Facility Type
- Physician Office
- Certificate Effective Date
- November 28, 2024
- Certificate Expiration Date
- November 27, 2026
- Laboratory Director
- BRADLEY GLODNY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Complexion Medical Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 4 | 9 | 0 | 4 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 8 | 9 | 0 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 8 + 9 + 0 + 4 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1497490429 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407944978 | RICHARD MICHAEL KUSHNER DPM Individual | Podiatrist | 580 PARK AVE SUITE 1C NEW YORK, NY 10065 (212) 355-2875 |
| 1497050231 | PARK AVENUE DERMATOLOGY ASSOCIATES, PC Organization | Dermatology | 580 PARK AVE NEW YORK, NY 10065 (212) 752-3692 |
| 1609869890 | DR. ROBERT LESLIE WARNER MD Individual | Dermatology | 580 PARK AVE NEW YORK, NY 10065 (212) 752-3692 |
| 1043203243 | DR. JEFFREY STEPHEN ROTH MD Individual | Dermatology | 580 PARK AVE NEW YORK, NY 10065 (212) 752-3692 |
| 1588089692 | MAURICE M KHOSH MD PC Organization | Otolaryngology (Facial Plastic Surgery) | 580 PARK AVE SUITE 1BE NEW YORK, NY 10065 (212) 339-9988 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497490429, enumerated in the NPI registry as an "organization" on May 04, 2022
The provider is located at 580 Park Ave New York, Ny 10065 and the phone number is (212) 752-3692
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider's CLIA number is 33D2272639 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 04, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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