Reforme Dermatology and Aesthetics, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

REFORME DERMATOLOGY AND AESTHETICS, LLC

Practice address

302 Wingo Way Ste 303
Mount Pleasant, SC 29464-2839

Phone

(843) 974-1230

Fax

(843) 974-1231

NPI assigned

Mar 28, 2023

Organization subpart

No

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

Authorized official

Name

Gabriella Vasile, DONPI 1013456185

Title

Owner

Phone

(302) 893-2411

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriella Francesca Vasile, DO

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1013456185
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1982308508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 TILLAGE ST",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669505",
            "telephone_number": "302-893-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WINGO WAY STE 303",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642839",
            "telephone_number": "843-974-1230",
            "fax_number": "843-974-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORME DERMATOLOGY AND AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "VASILE",
        "authorized_official_first_name": "GABRIELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-893-2411",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Reece, LPC
• Alexis Ciara Reed, PHARMD
• Brittany Reed
• Maegan Patricia Reed, DPT
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• Gregory Regan, PHARMD
• Regenerative Health 360 LLC
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• Cynthia Reich, PHARMD
• Aoife Reid, M.ED CF-SLP

• Dermatology Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.