Individual provider Active NPI

Paula F Moskowitz, M.D., PH.D

  • Dermatology Physician
  • East Greenwich, RI
National Provider Identifier
1619934825
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10433 Issued in RI
Practice address
1672 S County TRL
Suite 101
East Greenwich, RI 02818-1629
Phone
(401) 885-7546
Fax
(404) 885-6640
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10433 RI Primary

Addresses

Primary practice location

1672 S County TRL
Suite 101
East Greenwich, RI 02818-1629

Mailing address

1672 S County TRL
Suite 101
East Greenwich, RI 02818-1629
Phone (401) 885-7546

Other identifiers 1

IdentifierTypeStateIssuer
PM34476MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422001212 RI Practitioner - Dermatology 3678511250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Professionals IncGroup PAC ID 9234283953, 19 clinicians

Practice addresses (Care Compare)

148 W River St
Suite 1B
Providence, RI 02904-2615
Phone (401) 273-9310

1672 S County TRL
Suite 101
East Greenwich, RI 02818-5099
Phone (401) 885-7546

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions248
Skin biopsy67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10433RIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Professionals Inc. Dermatology CurrentSince Jul 13, 2009 Accepting new patients
Boston University Dermatology, Inc. Dermatology Past Accepting new patients
Coastal Dermatology Inc Dermatology Past Accepting new patients

Locations

1672 S County Trl
Ste 101
East Greenwich, RI 02818
Phone (401) 885-7546

1672 S County Trl
East Greenwich, RI 02818
Phone (401) 885-7546

148 W River St
Ste 1B
Providence, RI 02904
Phone (401) 272-9310

Interoperability endpoints

  • Direct secure messaging: pmoskowitz@apderm.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1619934825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 S COUNTY TRL",
            "address_2": "SUITE 101",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181629",
            "telephone_number": "401-885-7546",
            "fax_number": "404-885-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 S COUNTY TRL",
            "address_2": "SUITE 101",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181629",
            "telephone_number": "401-885-7546",
            "fax_number": "404-885-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "PAULA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "10433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PM34476",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.