Individual provider Active NPI

Carina Perrotta, R P.A.-C

  • Dermatology Physician
  • Smithtown, NY
National Provider Identifier
1699071159
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
009388 Issued in NY
Practice address
327 Middle Country Rd
Smithtown, NY 11787-2905
Phone
(631) 979-0909
Fax
(631) 979-0455
NPI assigned
Feb 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 009388 NY
Dermatology Physician 207N00000X 009388 NY Primary
Pediatric Dermatology Physician 207NP0225X 009388 NY

Addresses

Primary practice location

327 Middle Country Rd
Smithtown, NY 11787-2905

Mailing address

327 Middle Country Rd
Smithtown, NY 11787-2905
Phone (631) 979-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000230 NY Practitioner - Physician Assistant 1557359593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

327 E Main St
Smithtown, NY 11787-2905
Phone (631) 979-0909

327 E Middle Country Rd
Smithtown, NY 11787-2905

Merit-based Incentive Payment System (MIPS)

Final score
61.85 of 100Reported as individual
Quality
38.82
Promoting interoperability
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009388NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Laserderm Dermatology & Cosmetic Laser Surgery CurrentSince Feb 2, 2026 Accepting new patients
Rockville Dermatology, PC Dermatology CurrentSince Feb 2, 2026 Accepting new patients

Locations

2000 N Village Ave
Ste 203
Rockville Ctr, NY 11570
Phone (516) 763-1717

327 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 979-0909

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.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1699071159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MIDDLE COUNTRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872905",
            "telephone_number": "631-979-0909",
            "fax_number": "631-979-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MIDDLE COUNTRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872905",
            "telephone_number": "631-979-0909",
            "fax_number": "631-979-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTTA",
        "first_name": "CARINA",
        "credential": "R P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009388",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "009388",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NY",
            "license": "009388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.