Advanced Dermatology of Rhode Island, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ADVANCED DERMATOLOGY OF RHODE ISLAND, PC

Practice address

1351 S County TRL
Suite 302
East Greenwich, RI 02818-5105

Phone

(401) 886-5663

NPI assigned

Mar 17, 2017

Last updated

Mar 17, 2017By 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

David Morell

Title

President

Phone

(407) 875-2080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 6

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.

• Taylor Dryden

  • Physician Assistant
  • Lincoln, RI
  • NPI 1710555180
  Medicare reassignment Care Compare group NPD
• Spencer Hawkins, M.D.

  • MOHS-Micrographic Surgery Physician
  • Marietta, GA
  • NPI 1831621721

  Dermatology, RI

  Medicare reassignment Care Compare group NPD
• Raquel Marques Bertolotti, PA-C

  • Physician Assistant
  • East Greenwich, RI
  • NPI 1710692074
  Medicare reassignment Care Compare group
• Steven Kenneth Grekin, D.O.

  • Dermatology Physician
  • Warren, MI
  • NPI 1407836877

  RI

  Medicare reassignment NPD
• Elizabeth Bellairs-Roy, PA-C

  • Physician Assistant
  • East Greenwich, RI
  • NPI 1487917381
  Medicare reassignment
• Matt Louis Leavitt, DO

  • Dermatology Physician
  • Maitland, FL
  • NPI 1821108341
  NPD (past)

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1386185759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "SUITE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517176",
            "telephone_number": "407-875-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 302",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185105",
            "telephone_number": "401-886-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY OF RHODE ISLAND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "MORELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-875-2080"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian G Abbott, MD
• Acorn Mental Health Counseling
• Jessica Adams
• Adriana Brayman
• Adult Health Associates
• Iheanyi Ahukanna
• Hakeem B Alabi
• Kellen I Alabi
• Steven Alden, DPT
• Alexa R Raymond MD LLC

• Dermatology Physician in East Greenwich, RI
• Providers in East Greenwich, 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 Mar 17, 2017; 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.