Dermatology Associates Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

10175 Issued in RI

Legal business name

DERMATOLOGY ASSOCIATES INC

Practice address

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

Phone

(401) 471-6405

Fax

(401) 632-2842

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Anita E Pedvis-Leftick

Title

Owner

Phone

(401) 471-6405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1649515313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 302",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185105",
            "telephone_number": "401-471-6405",
            "fax_number": "401-632-2842"
        },
        {
            "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": "401-471-6405",
            "fax_number": "401-632-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "PEDVIS-LEFTICK",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-471-6405",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "RI",
            "license": "10175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dennett, LMHC
• Jeffrey Denuccio
• Amber Depaola, NP
• Diane Lynne Depasquale, FNP-C
• Andrea Rose Deprete, MSPT
• Dermatology Professionals Inc.
• Rosemary Dever, APRN
• Concetta Mary Di Leonardo, PH.D.
• Jennifer Ann Diiuro, MS, CCC-SLP
• Anthony Joseph Dimauro, PA-C, MSPAS

• 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 Dec 20, 2012; 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.