Gold Coast Dermatology PC
NPI 1578138343ActiveOrganization· Dermatology· Commack, NY
Dermatology in Commack, New York, registered in NPPES in May 2021. The authorized official on file is Charisse L. McCall, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578138343 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2021 |
| Last updated in NPPES | Aug 25, 2021 |
| Certified by provider | Aug 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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