DR. DARICE WILLIAMS FADEYI (NPI# 1427280544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427280544 |
| Entity Type | Individual |
| Full Name | DR. DARICE WILLIAMS FADEYI |
| Credential | M.D. |
| Practice Address |
969 Main St Ste D Fishkill NY 12524-1791 |
| Mailing Address |
121 Avenue of The Americas New York NY 10013 |
| Practice Telephone | 8458967730 |
| Practice Fax Number | 8458960273 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
60234479 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04916652 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 336 Route 202 Ste D, Somers, NY 105893220 | 9146178950 | 9146178960 |
| 121 Avenue of The Americas, New York, NY 10013 | 2124530201 | |
| 969 Main St Ste D, Fishkill, NY 125241791 | 8458967730 | 8458960273 |
| Street Address |
969 MAIN ST STE D |
| City | FISHKILL |
| State | NY |
| Zip Code | 12524-1791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194769851 | Ross Zeltser | Dermatology | 969 Main St Ste D, Fishkill, NY 12524 | 2006-06-15 |
| 1154709624 | Isaac Raoul Rosenblum | Physician Assistant | 969 Main St Ste D, Fishkill, NY 12524 | 2015-05-15 |
| 1114335171 | Olga Gaskins | Dermatology | 969 Main St Ste D, Fishkill, NY 12524 | 2014-07-22 |
| 1881969004 | Caroline M Raftopol | Physician Assistant | 969 Main St Ste D, Fishkill, NY 12524-1791 | 2012-03-21 |
| 1063507804 | Sharon Ramjattan | Physician Assistant | 969 Main St Ste D, Fishkill, NY 12524-1791 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306392659 | Leandra Carr | Licensed Practical Nurse | 3 Mountain View Knolls Drive, Fishkill, NY 12524 | 2016-08-28 |
| 1558738427 | Teresa Williams | Speech-Language Pathologist | 51 Shirley Ave, Fishkill, NY 12524 | 2015-08-27 |
| 1689088742 | Cardiovascular and Medical Associate of The Hudson Valley PC | Internal Medicine | 841 Route 52 Suite 6, Fishkill, NY 12524 | 2014-06-17 |
| 1366876377 | Bohdan Darnobid | Physician Assistant | 121 Red School House Road, Fishkill, NY 12524 | 2013-08-27 |
| 1396007530 | Rebecca Gowans Roper-eckstein | Psychologist | 24 Old Glenham Road, Fishkill, NY 12524 | 2012-06-13 |
| 1083989859 | Nicos Nicolaou | Pathology | 400 Westage Business Ctr Dr Ste 209, Fishkill, NY 12524 | 2012-03-13 |
| 1760776256 | Janice Jacqueline Thomas-green | Registered Nurse | 62 Hoose Blvd, Fishkill, NY 12524 | 2011-06-02 |
| 1548494776 | Jacquelyn A Lindsay | Social Worker | 1575 Route 376 At New Hackensack Road, Wappingers Falls, NY 12524 | 2009-05-01 |
| 1154512838 | Joan J Miles | Registered Nurse | 74 Highland Ct, Fishkill, NY 12524 | 2007-08-07 |
| 1902097884 | Optical Fashions Corp | Technician/Technologist | 200 Westage Business Center Drive, Fishkill, NY 12524 | 2007-08-06 |
| Find all providers in zip 12524 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural 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). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835364 | Skin & Aesthetic Surgery of Manhattan | Dermatology | 120 E 56th St # 1500, New York, NY 10022-3607 | 2020-09-14 |
| 1710443015 | Robert Paul Cipolla | Dermatology | 48 Cordelia Ave, Staten Island, NY 10309-3434 | 2019-02-12 |
| 1861889552 | Miriam R Lieberman | Dermatology | 2003 Avenue J Ste 1c, Brooklyn, NY 11210-3605 | 2015-04-20 |
| 1417206459 | Brett Marsh Dolgin | Dermatology | 255 Great Neck Rd Apt Ph15, Great Neck, NY 11021-3358 | 2012-09-06 |
| 1700149077 | Meghan Anne Feely | Dermatology | 300 E 75th St, 18l, New York, NY 10021-0216 | 2012-06-20 |
| 1487936308 | Union Square Laser Dermatology | Dermatology | 19 Union Sq W Fl 5, New York, NY 10003-3304 | 2011-09-16 |
| 1073764809 | William Jay Greenberg | Dermatology | 301 E 81st St, New York, NY 10028-4033 | 2008-10-10 |
| 1073780540 | Lewis M. Dubroff, M.d.,p.c. | Dermatology | 475 Irving Ave Ste 314, Syracuse, NY 13210-1528 | 2008-05-13 |
| 1992983456 | Jared Jagdeo | Dermatology | 450 Clarkson Ave Fl 8, Brooklyn, NY 11203-2012 | 2008-02-07 |
| 1437339447 | Mary Louise Lenahan | Dermatology | 9388 Transit Rd, East Amherst, NY 14051-1494 | 2007-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.