NPIMap

Organization Active NPI

Brown Dermatology, Inc.

  • Dermatology Physician
  • Providence, RI
National Provider Identifier
1730538026
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BROWN DERMATOLOGY, INC.
Practice address
593 Eddy St
Apc-10
Providence, RI 02903-4923
Phone
(401) 444-7959
Fax
(401) 444-7144
NPI assigned
Jun 7, 2016
Last updated
Jun 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Dr. Abrar Qureshi, M.D., MPHNPI 1720044134
Title
Chair
Phone
(401) 444-7137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary
MOHS-Micrographic Surgery Physician 207ND0101X
Dermatopathology Physician 207ND0900X
Pediatric Dermatology Physician 207NP0225X
Procedural Dermatology Physician 207NS0135X

Addresses

Primary practice location

593 Eddy St
Apc-10
Providence, RI 02903-4923

Mailing address

593 Eddy St
Apc-10
Providence, RI 02903-4923
Phone (401) 444-7959

Other practice location 1

65 Sockanosset Cross Rd Ste 302
Cranston, RI 02920-5536
Phone (401) 444-7959

Other practice location 2

1454 S County Trl
East Greenwich, RI 02818-1749
Phone (401) 444-7959

Other practice location 3

450 Veterans Memorial Pkwy Building 11 Unit B
East Providence, RI 02914-5300
Phone (401) 438-9150

Other practice location 4

400 Bald Hill Rd Fl 2
Warwick, RI 02886-1617
Phone (401) 738-4323

Other practice location 5

17 Wells St Ste 203
Westerly, RI 02891-2923
Phone (401) 348-0660

Other practice location 6

59 S County Commons Way Fl 2
South Kingstown, RI 02879-8270
Phone (401) 738-4323

Other practice location 7

164 Summit Ave Fain Building, Suite 2B
Providence, RI 02906
Phone (401) 793-3376

Other practice location 8

845 N Main St
Providence, RI 02904-5700
Phone (401) 521-7300

Other practice location 9

639 Metacom Ave
Warren, RI 02885-2348
Phone (401) 444-7959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161117000508 RI Part B Supplier - Clinic/Group Practice 3870872773 Receives reassigned benefits from 31 practitioners
Practice locations: Providence, RI; Westerly, RI; Warwick, RI; South Kingstown, RI; Riverside, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2237538Brown Dermatology, Inc400 Bald Hill Road, Warwick, RI 02886ComplianceFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

65 Sockanosset Cross Rd
Ste 302
Cranston, RI 02920

164 Summit Ave
Ste D
Providence, RI 02906

593 Eddy St
Fl 10
Providence, RI 02903

593 Eddy St
Ste APC10
Providence, RI 02903

900 Douglas Pike
Ste 100
Smithfield, RI 02917

400 Bald Hill Rd
#2
Warwick, RI 02886

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1730538026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "APC-10",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "APC-10",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Sockanosset Cross Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029205536",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1454 S County Trl",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181749",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Veterans Memorial Pkwy Building 11 Unit B",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-438-9150",
            "fax_number": "401-435-8013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Bald Hill Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861617",
            "country_code": "US",
            "telephone_number": "401-738-4323",
            "fax_number": "401-738-3857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Wells St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912923",
            "country_code": "US",
            "telephone_number": "401-348-0660",
            "fax_number": "401-348-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 S County Commons Way Fl 2",
            "address_purpose": "LOCATION",
            "city": "South Kingstown",
            "state": "RI",
            "postal_code": "028798270",
            "country_code": "US",
            "telephone_number": "401-738-4323",
            "fax_number": "401-738-3857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave Fain Building, Suite 2B",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02906",
            "country_code": "US",
            "telephone_number": "401-793-3376",
            "fax_number": "401-793-4809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 N Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045700",
            "country_code": "US",
            "telephone_number": "401-521-7300",
            "fax_number": "401-521-7307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 Metacom Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "RI",
            "postal_code": "028852348",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROWN DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "ABRAR",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "401-444-7137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., MPH"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.