Organization Active NPI

Dermatology Care Specialists Inc

  • Dermatology Physician
  • Warwick, RI
National Provider Identifier
1619936028
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
RI331 Issued in RI
Legal business name
DERMATOLOGY CARE SPECIALISTS INC
Practice address
647 Jefferson Blvd
Warwick, RI 02886-1318
Phone
(401) 739-8021
Fax
(401) 739-8045
NPI assigned
Mar 23, 2006
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Mrs. Paulette M Ceccofiglio
Title
Billing Manager
Phone
(401) 739-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X RI331 RI Primary

Addresses

Primary practice location

647 Jefferson Blvd
Warwick, RI 02886-1318

Mailing address

647 Jefferson Blvd
Warwick, RI 02886-1318
Phone (401) 739-8021

National Provider Directory

National Provider Directory

Locations

77 Salem Tpke
Norwich, CT 06360
Phone (860) 887-8868

10 N Main St
#4
Fall River, MA 02720
Phone (508) 324-1711

2075 Nooseneck Hill Rd
Unit C
Coventry, RI 02816
Phone (401) 392-3610

2138 Mendon Rd
Ste 202
Cumberland, RI 02864
Phone (401) 335-3553

14 Woodruff Ave
#2
Narragansett, RI 02882
Phone (401) 782-3778

14 Woodruff Ave
Unit 2
Narragansett, RI 02882
Phone (401) 782-3778

51 Long Wharf Mall
Newport, RI 02840
Phone (401) 239-1800

63 Eddie Dowling Hwy
#146A
North Smithfield, RI 02896
Phone (401) 766-1333

400 Bald Hill Rd
Ste 512
Warwick, RI 02886
Phone (401) 732-2557

647 Jefferson Blvd
Warwick, RI 02886
Phone (401) 467-1400

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1619936028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861318",
            "telephone_number": "401-739-8021",
            "fax_number": "401-739-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861318",
            "telephone_number": "401-739-8021",
            "fax_number": "401-739-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CARE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "CECCOFIGLIO",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "401-739-8021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "RI331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.