COASTAL DERMATOLOGY PA
NPI 1366431769
Dermatology in Jacksonville, FL

Active since October 18, 2005
2804 SAINT JOHNS BLUFF RD S, STE 109, JACKSONVILLE, FL 32246(904) 727-9123(904) 855-4255 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Dermatology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL DERMATOLOGY PA (NPI 1366431769), doing business as Goyal Dermatology Inc, is a healthcare organization registered as a dermatology in Jacksonville, Florida and active in the NPI registry since October 2005. The organization lists Sanjiva Goyal, President, as its authorized official.

NPPES Registry Identity

NPI1366431769
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOASTAL DERMATOLOGY PA
Location Address2804 SAINT JOHNS BLUFF RD S, STE 109Jacksonville, FL 32246-3776
Mailing AddressPo Box 2878Ponte Vedra Beach, FL 32004-2878 · (904) 567-1050 · Fax (904) 567-1051
Fax(904) 855-4255
Organization SubpartNo
Authorized OfficialSanjiva GoyalPresident · (904) 567-1050
Enumeration DateOctober 18, 2005
Last NPPES UpdateMay 8, 2015
NPI 1366431769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
2804 SAINT JOHNS BLUFF RD S, Jacksonville, FL 32246

Other Names 1

Former Legal Business NameGoyal Dermatology Inc

Other Identifiers 3

Other35493ZFL · Medicare Provider Id
OtherK3994FL · Medicare Ptan
Medicare UPING49010FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
2804 SAINT JOHNS BLUFF RD S, STE 109
JACKSONVILLE, FL 32246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Dermatology PA's NPI number?

The NPI number for Coastal Dermatology PA is 1366431769. It was assigned to this organization in the NPPES registry on October 18, 2005. The provider was formerly known as Goyal Dermatology Inc.

Where is Coastal Dermatology PA located?

Coastal Dermatology PA is located at 2804 Saint Johns Bluff Rd S Ste 109, Jacksonville, FL 32246. The listed phone number is (904) 727-9123.

What is Coastal Dermatology PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Coastal Dermatology PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed and Molina Healthcare list Coastal Dermatology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Dermatology PA was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.