AGAPE MEDICAL SPA OF WARWICK, INC (NPI# 1548685985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548685985 |
| Entity Type | Organization |
| Organization Name | AGAPE MEDICAL SPA OF WARWICK, INC |
| Other Organization Name | AGAPE DERMATOLOGY |
| Practice Address |
49 Seekonk St Unit 3 Providence RI 02906-5176 |
| Practice Telephone | 4013962227 |
| Practice Fax Number | 4014211120 |
| Mailing Telephone | 4013962227 |
| Mailing Fax Number | 4014211120 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | PAUL MALLARI (OWNER) |
| Authorized Official Telephone | 4015297787 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Agape Dermatology | Doing Business As Name - Organization |
| Street Address |
49 SEEKONK ST UNIT 3 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124382023 | Scott Hammerman | Dermatology | 50 Maude St Fl 1, Department of Dermatology and Skin Surgery, Providence, RI 02908-4325 | 2012-06-26 |
| 1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
| 1215086988 | Laura Della Torre | Dermatology | 1539 Atwood Ave Ste 301, Providence, RI 02919-3262 | 2007-01-10 |
| 1720044134 | Abrar A Qureshi | Dermatology | 593 Eddy Street, Apc-10, Providence, RI 02903 | 2006-04-25 |
| 1962473314 | Lionel G Bercovitch | Dermatology | 593 Eddy Street, Apc-10, Providence, RI 02903 | 2006-02-01 |
| 1225037377 | Elizabeth Ann Welch | Dermatology | 1287 N Main St, Providence, RI 02904-1856 | 2005-07-20 |
| 1255337671 | Stephen Ernest Glinick | Dermatology | 593 Eddy St Bldg Apc -10, Providence, RI 02903-4923 | 2005-06-21 |
| 1538715990 | Alexandra Leonard | Dermatology | 593 Eddy St, Providence, RI 02903-4923 | 2019-08-12 |
| 1568029957 | Cbm Derm LLC | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332-9860 | 2019-05-22 |
| 1659831204 | Eric Jie Yang | Dermatology | 593 Eddy St, Providence, RI 02903-4923 | 2019-03-20 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on AGAPE MEDICAL SPA OF WARWICK, INC.
| 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.