NPIMap

Organization Active NPI

Dermatology Associates Inc

  • Dermatology Physician
  • East Greenwich, RI
National Provider Identifier
1649515313
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Dr. Anita E Pedvis-LeftickNPI 1801854054
Title
Owner
Phone
(401) 471-6405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 10175 RI Primary

Addresses

Primary practice location

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

Mailing address

1351 S County TRL
Suite 302
East Greenwich, RI 02818-5105
Phone (401) 471-6405

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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": []
}

Other providers in East Greenwich, RI

Sources for this page

  • 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.