JENNIFER M. DEFAZIO MD – NPI #1508988742
Dermatology
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
JENNIFER DEFAZIO is a dermatologist located in GREENVILLE, NC. NPPES has assigned the NPI number 1508988742 to JENNIFER DEFAZIO on April 06, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology
The NPI profile was previously updated about 2 years ago on Feb 07, 2024. 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 JENNIFER DEFAZIO below.
NPI Profile for
JENNIFER M. DEFAZIO
(more than 19 years ago)
GREENVILLE, NC 27834-2849 Phone: (252) 744-3109 Fax: (252) 744-2096
CHARLOTTE, NC 28275-1069 Phone: Fax:
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 for JENNIFER DEFAZIO
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BCBSNC | NC | 153RU |
| medicaid | NC | 5912475 |
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 |
|---|---|---|
| 207NS0135X - Dermatology / Procedural Dermatology (Primary) |
NC | 2009-01325 |
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.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- ECU PHYSICIANS
- Content Type
- Affiliation
- N
- Endpoint Location
-
517 MOYE BLVD,
GREENVILLE, NC 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JENNIFER DEFAZIO is affiliated with the following medical group(s):
- HOSPITAL
- VIDANT MEDICAL CENTER2100 STANTONSBURG RD
GREENVILLE, NC 27834
- VIDANT MEDICAL CENTER2100 STANTONSBURG RD
Why is my NPI data (personal information) being displayed publicly?
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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System.
See the complete CMS Data Dissemination Notice here.