DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA – NPI #1619903176
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA is a dermatologist located in NEW BERN, NC. NPPES has assigned the NPI number 1619903176 to DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA on June 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

The NPI profile was previously updated about 4 years ago on Sep 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA below.

NPI Profile for
DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA

NPI Number
1619903176
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA
Primary location
2115 NEUSE BLVD
NEW BERN, NC 28560-4309
Phone: (252) 633-4461 Fax: (252) 633-6016
Mailing address
PO BOX 890283
CHARLOTTE, NC 28289-0283
Phone: (252) 633-4461 Fax: (252) 633-6016
Organization Subpart
No
Authorized Official
JAMES POLO
MEDICAL DIRECTOR/OWNER
Phone: (252) 633-4461
Updated
Certification Date
Sep 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS GROUP PROVIDER NUMBENC017RM
otherRR MEDICARENCDF3377
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0900X
- Dermatology / Dermatopathology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.