University Dermatology, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

UNIVERSITY DERMATOLOGY, INC.

Practice address

593 Eddy St
Apc#10
Providence, RI 02903-4923

Phone

(401) 444-7959

Fax

(401) 444-7144

NPI assigned

May 9, 2006

Last updated

May 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abrar A Qureshi, MD MPHNPI 1720044134

Title

President

Phone

(401) 444-7137

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Abrar A Qureshi, MD, MPH

  • Dermatology Physician
  • Providence, RI
  • NPI 1720044134
  Authorized official Same address or phone
• Norman Mervyn Gordon, M.D.

  • Neurology Physician
  • East Providence, RI
  • NPI 1467481648
  NPD
• Fred Flynt Griffith, M.D.

  • Neurology Physician
  • East Providence, RI
  • NPI 1639108509
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1316996101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY STREET",
            "address_2": "APC-10",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "APC#10",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "ABRAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-444-7137",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Woundcare Institute Rhode Island PLLC
• Uniting Community Development & Improvement
• Universal Ambulance Service, Inc.
• University Cardiovascular Surgical Associates Inc
• University Chiropractic
• University Foot & Ankle Center Inc
• University Foot & Ankle Center Inc
• University Foot & Ankle Center Inc
• University Gastroenterology, LLC
• University Medical Group, Inc

• Dermatology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Dermatology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.