Active NPIOrganization

Agape Dermatology Of Johnston LLC

Dermatology in Johnston, Rhode Island

NPI Number1871302141
Practice location
1526 Atwood Ave Ste 220, Johnston, RI 02919-3289
Fax
401-421-1120
Last updated
January 2, 2025

Agape Dermatology Of Johnston LLC is a healthcare organization based in Johnston, RI. Agape Dermatology Of Johnston LLC practices in Johnston, RI. The NPI Number for Agape Dermatology Of Johnston LLC is 1871302141. The current practice location address for Agape Dermatology Of Johnston LLC is 1526 Atwood Ave Ste 220, Johnston, RI 02919-3289 and can be reached out via phone at 401-396-2227 and via fax at 401-421-1120.

Provider Profile Details

NPI Number
1871302141
Provider Name
Agape Dermatology Of Johnston LLC
Provider Entity Type
Organization
Address
1526 Atwood Ave Ste 220, Johnston, RI 02919-3289
Phone Number
401-396-2227
Fax Number
401-421-1120
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Paul Mallari, PA-C · President · 401-737-7546
Other Names
Agape Dermatology (Former Legal Business Name)
Provider Enumeration Date
January 2, 2025
Last Update Date
January 2, 2025
Certification Date
January 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1526 Atwood Ave Ste 220
Johnston, RI 02919-3289
Zip
02919-3289
Phone Number
401-396-2227
Fax Number
401-421-1120
Johnston, RI 02919Get directions →

Provider Business Mailing Address Details

Address
1526 Atwood Ave Ste 210
Johnston, RI 02919-3289
City
Johnston
State
RI
Zip
02919-3289
Phone Number
401-737-7546
Fax Number
401-384-6741

License Information

Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Agape Dermatology Of Johnston LLC?

The NPI number of Agape Dermatology Of Johnston LLC is 1871302141. It was assigned on January 2, 2025 and is currently active in the NPPES registry.

What is the specialty of Agape Dermatology Of Johnston LLC?

Agape Dermatology Of Johnston LLC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Agape Dermatology Of Johnston LLC practice?

The practice location is 1526 Atwood Ave Ste 220, Johnston, RI 02919-3289. The office can be reached at 401-396-2227 (phone) or 401-421-1120 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871302141 directly on the NPPES registry website.

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