Organization Active NPI

Skinmedical Research and Diagnostics, P.L.L.C.

  • Clinical Medical Laboratory
  • Dobbs Ferry, NY
National Provider Identifier
1699099010
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SKINMEDICAL RESEARCH AND DIAGNOSTICS, P.L.L.C.
Practice address
64 Southlawn Ave
Dobbs Ferry, NY 10522-3520
Phone
(917) 518-1625
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Melissa Gill, M.D.
Title
Medical Director
Phone
(917) 518-1625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

64 Southlawn Ave
Dobbs Ferry, NY 10522-3520

Mailing address

PO Box 42
Dobbs Ferry, NY 10522-0042

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1699099010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105220042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 SOUTHLAWN AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223520",
            "telephone_number": "917-518-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINMEDICAL RESEARCH AND DIAGNOSTICS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-518-1625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.