LABORATORY OF DERMATOPATHOLOGY ADX, LLC (NPI# 1487663860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487663860 |
| Entity Type | Organization |
| Organization Name | LABORATORY OF DERMATOPATHOLOGY ADX, LLC |
| Practice Address |
80 Crossways Park Drive Suite 100 Woodbury NY 11797-2047 |
| Mailing Address |
11025 Rca Center Dr Suite 300 Palm Beach Gardens FL 33410-4269 |
| Practice Telephone | 5169443883 |
| Practice Fax Number | 5168332936 |
| Mailing Telephone | 5615145822 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | MICHAEL GRATTENDICK (CFO) |
| Authorized Official Telephone | 5615145822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
PFI 3199 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
80 CROSSWAYS PARK DRIVE SUITE 100 |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127373 | Aim Integrated Medicine | Allergy & Immunology | 80 Crossways Park Drive, Suite 200, Woodbury, NY 11797 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring 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 light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578706032 | Xuan Wang | Pathology | 80 Crossways Park Dr Ste 100, Woodbury, NY 11797-2047 | 2009-04-14 |
| 1164782454 | Michael Arthur Casey | Pathology | 80 Crossways Park Dr Ste 100, Woodbury, NY 11797 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655954 | Eduardo Zappi | Pathology | 63-11 Queens Boulevard, Ste A6 / 7, Woodside, NY 11377 | 2017-05-11 |
| 1407100050 | Marcelo Ernesto Zappi | Pathology | 63-11 Queens Boulevard Apt A4, C/o Eduardo Zappi Dermatopathology, Woodside, NY 11377 | 2012-11-05 |
| 1467602581 | Melissa Gill | Pathology | 64 Southlawn Ave, Dobbs Ferry, NY 10522-3520 | 2008-09-25 |
| 1659532224 | Garrett Thomas Desman | Pathology | 1233 York Ave Apt 16o, New York, NY 10065-6306 | 2008-06-17 |
| 1073797353 | Ron Yaar | Pathology | 61 Monroe Ave Ste B, Pittsford, NY 14534-1311 | 2007-12-22 |
| 1780787770 | Meenakshi Singh | Pathology | Sbumc Dept of Pathology, Stony Brook, NY 11794-0001 | 2006-09-06 |
| 1316986359 | Mount Sinai School of Medicine | Pathology | 1428 Madison Ave, Atran 610, New York, NY 10029-6508 | 2006-06-05 |
| 1144283912 | Mcclain Laboratories LLC | Pathology | 45 Manor Rd, Smithtown, NY 11787-2735 | 2006-04-11 |
| 1831178318 | Mark I Jacobson | Pathology | 560 White Plains Rd Fl 6, Tarrytown, NY 10591-5113 | 2006-01-12 |
| 1740677855 | Alicia Vivian Goldenberg | Pathology | Elm and Carlton Streets, Buffalo, NY 14263 | 2015-04-16 |
| 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.