Nasser Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NASSER DERMATOLOGY, PLLC

Practice address

25101 Ford Rd
Dearborn, MI 48128-1058

Phone

(313) 359-7900

Fax

(313) 359-7800

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Farid Nasser, M.D.NPI 1740497700

Title

Owner

Phone

(313) 610-4400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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.

• Farid A Nasser, M.D., RPH.

  • Dermatology Physician
  • Dearborn, MI
  • NPI 1740497700
  Medicare reassignment Care Compare group NPD Authorized official
• Layla Mohana, FNP-BC

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1457045544
  Medicare reassignment Care Compare group NPD
• Ayad Edward Abrou, M.D.

  • MOHS-Micrographic Surgery Physician
  • Rochester Hills, MI
  • NPI 1457305815
  NPD (past)
• Megan Rita Bacall, PA-C

  • Physician Assistant
  • Shelby Township, MI
  • NPI 1881285260
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1437335916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281058",
            "telephone_number": "313-359-7900",
            "fax_number": "313-359-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281058",
            "telephone_number": "313-359-7900",
            "fax_number": "313-359-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSER DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2022-02-11",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-610-4400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laya Nasrallah, NP
• Mohamad Nasrallah
• Fatme Nassar
• Jeanne Nassar, PHYSICIAN ASSISTANT
• Jenna Nassar
• Nasser Pharmacy Inc
• Omar Nasser Rahal, MD
• Ali Mohamed Nasser, MD
• Amera Husain Nasser
• Asmahan Abduljalil Nasser I

• Dermatology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.