Active NPI
Dawn Barilli, RPA-C
- Physician Assistant
- Monroe, NY
National Provider Identifier
1295732196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0067671
- Practice address
- 503 Route 208
Monroe, NY 10950-1619 - Phone
- (845) 783-2920
- NPI assigned
- Jul 7, 2005
- Reactivated
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0067671 | NY | Primary |
Addresses
Primary practice location
503 Route 208
Monroe, NY 10950-1619
Mailing address
503 Route 208
Monroe, NY 10950-1619
Phone (845) 783-2920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0067671 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Dermatology Associates, PC | Current | Accepting new patients |
Locations
503 State Route 208
Monroe, NY 10950
Phone (845) 783-2920
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Monroe, NY
- NPI 1770562175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1295732196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 ROUTE 208",
"city": "MONROE",
"state": "NY",
"postal_code": "109501619",
"telephone_number": "845-783-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 ROUTE 208",
"city": "MONROE",
"state": "NY",
"postal_code": "109501619",
"telephone_number": "845-783-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARILLI",
"first_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2013-01-30",
"deactivation_date": "2006-03-21",
"reactivation_date": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "0067671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.