Paul T Zaydon, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5857 Issued in RI

Practice address

115 Newport Ave
Pawtucket, RI 02861-4107

Phone

(401) 723-4290

Fax

(401) 723-4830

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agape Medical Spa of Warwick, Inc

  dba Agape Dermatology

  • Dermatology Physician
  • Johnston, RI
  • NPI 1548685985
  Medicare reassignment NPD
• Agape Medical Spa and Weight Loss Center LLC

  dba Agape Dermatology of Fall River

  • Dermatology Physician
  • Fall River, MA
  • NPI 1740607845
  Medicare reassignment NPD
• Paul T Zaydon,MD

  • Dermatology Physician
  • Pawtucket, RI
  • NPI 1265447049
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700892726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NEWPORT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614107",
            "telephone_number": "401-723-4290",
            "fax_number": "401-723-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NEWPORT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614107",
            "telephone_number": "401-723-4290",
            "fax_number": "401-723-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYDON",
        "first_name": "PAUL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "5857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "112",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yesshawniecestyles (YssBoutique)
• Pryscilla Ruth Sungkyung Yoon, MD
• Robin Lee Young
• David H. Yuells, LICSW
• Carmen Zapata
• Patrick Smith Zelley, M.D.
• Zen Home Healthcare
• Zentara Health, LLC
• Weiping Zhao
• Zinc for Change

• Dermatology Physician in Pawtucket, RI
• Providers in Pawtucket, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.