BB MEDICAL AND DERMATOLOGY – NPI #1790210516
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

BB MEDICAL AND DERMATOLOGY is a dermatologist located in NEW YORK, NY. NPPES has assigned the NPI number 1790210516 to BB MEDICAL AND DERMATOLOGY on April 30, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BB MEDICAL AND DERMATOLOGY” is a dba name, the actual legal business name for this organization is BB MEDICAL AND DERMATOLOGY INC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 5 years ago on Jul 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BB MEDICAL AND DERMATOLOGY below.

NPI Profile for
BB MEDICAL AND DERMATOLOGY INC

NPI Number
1790210516
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BB MEDICAL AND DERMATOLOGY INC
Doing Business As (dba): BB MEDICAL AND DERMATOLOGY
Other name(s)
All associated names:
Doing Business As (dba)
BB MEDICAL AND DERMATOLOGY
Doing Business As (dba)
LUNA Dermatology
Primary location
515 MADISON AVE
6TH FLOOR
NEW YORK, NY 10022-5403
Phone: (415) 802-1310 Fax:
1 Other location(s):
515 Madison Ave Fl 6
New York, NY 10022-5403
Phone: (415) 802-1310
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BROOKE BAIR
PRESIDENT
Phone: (415) 802-1310
Updated
Certification Date
Jul 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
NY 273364-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.