Laboratory of Dermatopathology Adx, LLC
NPI 1487663860ActiveOrganization· Pathology, Dermatopathology· Woodbury, NY
Pathology, Dermatopathology in Woodbury, New York, registered in NPPES in August 2006. The authorized official on file is Michael Grattendick, Cfo. Medicare paid $2,074,777 for services to 14,557 patients in 2024.
Overview
| NPI | 1487663860 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2006 |
| Last updated in NPPES | Aug 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Dermatopathology Primary | 207ZD0900X | PFI 3199 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14,557 |
|---|---|
| Services billed | 42,519 across 12 procedure codes |
| Paid by Medicare | $2,074,777 |