NPI Details
BRIDGE DERMATOPATHOLOGY SERVICES PLLC is a clinical medical laboratory in Tarrytown, NY. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. BRIDGE DERMATOPATHOLOGY SERVICES PLLC NPI is 1093274680. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
560 WHITE PLAINS RD FL 6
TARRYTOWN, NY
ZIP 10591-113
Phone: (914) 345-1101
The provider's authorized official is Mark Jacobson .
The authorized official title is Owner and has the following contact phone number (914) 345-1100.
The CLIA number assigned to this NPI record is 33D2154906 - independent with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
- Antibody evaluation, each additional single antibody stain procedure (HCPCS:88350)
- Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
- Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)
- Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
- Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
- Genetic sequencing localization, initial procedure (HCPCS:88365)
- Genetic sequencing localization, each additional procedure (HCPCS:88364)
- Pathology examination of tissue using a microscope, limited examination (HCPCS:88300)
The enumeration date for this NPI number is 3/13/2019 and was last updated on 6/2/2021.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207ND0900X | Dermatology | Dermatopathology | | | No |
| 2 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
