Premier Dermatology
NPI 1104270834ActiveOrganization· Physician Assistant, Medical· Newark, DE
Physician Assistant, Medical in Newark, Delaware, registered in NPPES in April 2016. The authorized official on file is Marypat Kwoka, MSM, Practice Administrator.
Overview
| NPI | 1104270834 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2016 |
| Last updated in NPPES | Apr 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | C5-0001054 | DE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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