Individual provider Active NPI

Paul G Rolincik III, M.D.

  • Dermatology Physician
  • Norwood, MA
National Provider Identifier
1942265673
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
73772 Issued in MA
Practice address
95 Chapel Street
Norwood, MA 02062
Phone
(781) 762-5858
Fax
(781) 762-9402
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 73772 MA
Dermatology Physician 207N00000X 73772 MA Primary

Addresses

Primary practice location

95 Chapel Street
Norwood, MA 02062

Mailing address

95 Chapel Street
Norwood, MA 02062
Phone (781) 762-5858

Other identifiers 1

IdentifierTypeStateIssuer
3102262MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050420001165 MA Practitioner - Dermatology 1153369095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Saint Louis University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PCGroup PAC ID 7012982044, 19 clinicians

Practice addresses (Care Compare)

128 Carnegie Row
Norwood, MA 02062-5010

95 Washington St
Suite 201
Canton, MA 02021-4006
Phone (781) 762-5858

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions157
Skin biopsy46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73772MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates PC Dermatology CurrentSince Apr 20, 1992 Accepting new patients
Da Mass PC Dermatology Current Accepting new patients
Adult & Pediatric Dermatology, P.C. Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Apderm North, PC Dermatology Past Accepting new patients

Locations

95 Washington St
Ste 210
Canton, MA 02021
Phone (781) 713-1200

54 Baker Avenue Ext
Ste 305
Concord, MA 01742

9 Payson Rd
Ste 225
Foxborough, MA 02035
Phone (781) 762-5858

440 E Central St
Franklin, MA 02038
Phone (508) 298-1300

128 Carnegie Row
Ste 202
Norwood, MA 02062
Phone (781) 762-5858

288 Grove St
Ste 201
Worcester, MA 01605
Phone (508) 552-3130

Interoperability endpoints

  • Direct secure messaging: prolincik@apderm.emadirect.md

Organizations & group practices 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1942265673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHAPEL STREET",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "02062",
            "telephone_number": "781-762-5858",
            "fax_number": "781-762-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHAPEL STREET",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "02062",
            "telephone_number": "781-762-5858",
            "fax_number": "781-762-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLINCIK",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "73772",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "73772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102262",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.