High Line Dermatology Services, P.C.
Dermatology in New York, NY. Organization (NPI-2).
NPI number1033040720
StatusActive
Last updated in NPPESMay 29, 2026
Details
- NPI
- 1033040720
- Entity type
- Organization (NPI-2)
- Legal business name
- High Line Dermatology Services, P.C.
- Organization subpart
- No
- Enumeration date
- May 29, 2026
- Certification date
- May 29, 2026
- Last updated
- May 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
514 W 28th StNew York, NY 10001-5509
Phone 646-580-4460
Mailing address
514 W 28th StNew York, NY 10001-5509
Authorized official
Hana Jeon
MD
6465804460
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