NPIMap

Organization Active NPI

Laboratory of Dermatopathology, LLP

  • Dermatopathology (Pathology) Physician
  • Port Washington, NY
National Provider Identifier
1871761080
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
Legal business name
LABORATORY OF DERMATOPATHOLOGY, LLP
Practice address
2 N Plandome Rd
Port Washington, NY 11050-3443
Phone
(516) 944-3882
NPI assigned
Feb 11, 2008
Organization subpart
Yes
Parent organization
AURORA DIAGNOSTIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mr. Martin J Stefanelli
Title
Chief Operating Officer
Phone
(516) 944-3882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZD0900X Primary

Addresses

Primary practice location

2 N Plandome Rd
Port Washington, NY 11050-3443

Mailing address

2 N Plandome Rd
Port Washington, NY 11050-3443
Phone (516) 944-3882

National Provider Directory

National Provider Directory
Tax ID family
Laboratory of Dermatopathology2 organizations share this tax ID, including this one
Part of
Aurora Diagnostics LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1871761080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N PLANDOME RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503443",
            "telephone_number": "516-944-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N PLANDOME RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503443",
            "telephone_number": "516-944-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY OF DERMATOPATHOLOGY, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AURORA DIAGNOSTIC, LLC",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "STEFANELLI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "516-944-3882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.