NPIMap

Organization Active NPI

Parisi Dermatology, PLLC

  • Dermatology Physician
  • Poughkeepsie, NY
National Provider Identifier
1174190680
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PARISI DERMATOLOGY, PLLC
Practice address
56 Main St
Poughkeepsie, NY 12601-2948
Phone
(845) 485-5000
NPI assigned
Jun 4, 2021
Last updated
Jun 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marybeth Parisi, MDNPI 1639158769
Title
Owner
Phone
(845) 485-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

56 Main St
Poughkeepsie, NY 12601-2948

Mailing address

56 Main St
Poughkeepsie, NY 12601-2948
Phone (845) 485-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211001001878 NY Part B Supplier - Clinic/Group Practice 7214335447 Receives reassigned benefits from 11 practitioners
Practice locations: Fishkill, NY; Poughkeepsie, NY
O20220223000120 CT Part B Supplier - Clinic/Group Practice 7214335447 Receives reassigned benefits from 4 practitioners
Practice locations: New Milford, CT

National Provider Directory

National Provider Directory

Locations

131 Kent Rd
Bldg B
New Milford, CT 06776
Phone (845) 485-5000

200 Westage Business Ctr Dr
Ste 228
Fishkill, NY 12524
Phone (845) 430-4713

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1174190680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012948",
            "telephone_number": "845-485-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012948",
            "telephone_number": "845-485-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISI DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-485-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.