Coastal Derm & Cosmetic Center, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COASTAL DERM & COSMETIC CENTER, INC

Practice address

750 Reservoir Ave
Cranston, RI 02910-4423

Phone

(401) 943-0761

Fax

(401) 943-5737

NPI assigned

Apr 15, 2014

Last updated

Mar 16, 2026By 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

Hua ZhouNPI 1770538563

Title

Owner

Phone

(401) 490-4515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 8

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.

• Hua Zhou, M.D.

  • Dermatology Physician
  • Cranston, RI
  • NPI 1770538563
  Medicare reassignment Care Compare group NPD Authorized official
• Michael A Bharier, MD

  • Dermatology Physician
  • Cranston, RI
  • NPI 1336145135
  Medicare reassignment Care Compare group NPD
• Laura Della Torre, M.D.

  • Dermatology Physician
  • Providence, RI
  • NPI 1215086988
  Medicare reassignment Care Compare group NPD
• Kaleigh Rapoza, FNP

  • Family Nurse Practitioner
  • Johnston, RI
  • NPI 1174200976
  Medicare reassignment Care Compare group NPD
• Alicia Vatter, FNP-C

  • Family Nurse Practitioner
  • Warwick, RI
  • NPI 1265107023
  Medicare reassignment Care Compare group NPD
• Su Luo, M.D.

  • MOHS-Micrographic Surgery Physician
  • Cranston, RI
  • NPI 1609165315
  Medicare reassignment Care Compare group
• Joseph Anthony Masiello, PA-C

  • Physician Assistant
  • Cranston, RI
  • NPI 1861285413
  Medicare reassignment NPD
• Jenna Herrmann, PA-C

  • Physician Assistant
  • Cranston, RI
  • NPI 1184414856
  Medicare reassignment

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1528487683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104423",
            "telephone_number": "401-943-0761",
            "fax_number": "401-943-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104423",
            "telephone_number": "401-943-0761",
            "fax_number": "401-943-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Toll Gate Rd Ste 206B",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864460",
            "country_code": "US",
            "telephone_number": "401-490-4515",
            "fax_number": "401-490-4516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL DERM & COSMETIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "ZHOU",
        "authorized_official_first_name": "HUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-490-4515"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Rose Clifford, CNM
• Jillian Patricia Clifford, APRN
• Tracey A Clifford, MSPT
• Virginia Clifford, LICSW
• Close to Home Nursing Care LLC
• Coastal Medical, Inc.
• Coastline Ambulance Services, LLC
• Codac Behavioral Healthcare
• Codac Inc
• Codac Inc (Codac Cranston)

• Dermatology Physician in Cranston, RI
• Providers in Cranston, 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 16, 2026; 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.