Organization Active NPI

Patriot Dermatology, Scorp

  • Dermatology Physician
  • Sarasota, FL
National Provider Identifier
1265130413
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PATRIOT DERMATOLOGY, SCORP
Practice address
5317 Colewood PL
Sarasota, FL 34232-5607
Phone
(941) 500-4816
NPI assigned
Feb 17, 2023
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Dr. Erine A Kupetsky, DONPI 1952400012
Title
Owner, Dermatologist
Phone
(609) 337-7643

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

5317 Colewood PL
Sarasota, FL 34232-5607

Mailing address

638 Lawrenceville Rd
Lawrence Township, NJ 08648-4208
Phone (609) 337-7643

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1265130413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 LAWRENCEVILLE RD",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086484208",
            "telephone_number": "609-337-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 COLEWOOD PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342325607",
            "telephone_number": "941-500-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT DERMATOLOGY, SCORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "KUPETSKY",
        "authorized_official_first_name": "ERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, DERMATOLOGIST",
        "authorized_official_telephone_number": "609-337-7643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.