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COASTAL DERM & COSMETIC CENTER, INC
NPI 1528487683
Dermatology in Cranston, RI

Active since April 15, 2014CLIA Certified · 2 labs
750 RESERVOIR AVE, CRANSTON, RI 02910(401) 943-0761(401) 943-5737 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2026, Sep 9, 2024 (2 updates tracked since 2024).

About Coastal Derm & Cosmetic Center, Inc NPPES

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

COASTAL DERM & COSMETIC CENTER, INC (NPI 1528487683) is a healthcare organization registered as a dermatology in Cranston, Rhode Island and active in the NPI registry since April 2014. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Warwick, and lists Hua Zhou, Owner, as its authorized official.

NPPES Registry Identity

NPI1528487683
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOASTAL DERM & COSMETIC CENTER, INC
Location Address750 RESERVOIR AVECranston, RI 02910-4423
Mailing Address750 Reservoir AveCranston, RI 02910-4423 · (401) 943-0761 · Fax (401) 943-5737
Phone(401) 943-0761
Fax(401) 943-5737
Organization SubpartNo
Authorized OfficialHua ZhouOwner · (401) 490-4515
Enumeration DateApril 15, 2014
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1528487683 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.
750 RESERVOIR AVE, Cranston, RI 02910
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Secondary Practice Location 1

Location 1215 Toll Gate Rd Ste 206BWarwick, RI 02886-4460 · Phone (401) 490-4515 · Fax (401) 490-4516

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Derm & Cosmetic Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Coastal Derm & Cosmetic Center, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Su Luo, M.D.
Dermatology
NPI 1609165315
750 RESERVOIR AVE
Cranston, RI 02910
(401) 943-0761
✔ PECOS✔ Accepts MedicareSame address
Hua Zhou, M.D.
Dermatology
NPI 1770538563
750 RESERVOIR AVE
Cranston, RI 02910
(401) 943-0761
✔ PECOS✔ Accepts MedicareSame address
Michael Bharier, MD
Dermatology
NPI 1336145135
750 RESERVOIR AVE
Cranston, RI 02910
(401) 943-0761
✔ PECOS✔ Accepts MedicareSame address
Laura Della Torre, M.D.
Dermatology
NPI 1215086988
1539 ATWOOD AVE STE 301
Providence, RI 02919
(401) 490-4515
✔ PECOS✔ Accepts Medicare4.4 mi
Kaleigh Rapoza, FNP
Nurse Practitioner
NPI 1174200976
1539 ATWOOD AVE STE 301
Johnston, RI 02919
(401) 490-4515
✔ PECOS✔ Accepts Medicare4.4 mi
Alicia Vatter, FNP-C
Nurse Practitioner
NPI 1265107023
215 TOLL GATE RD STE 206A
Warwick, RI 02886
(401) 490-4515
✔ PECOS✔ Accepts Medicare5.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 41D2285652

Coastal Dermatology & Cosmetic Center · Cranston, RI
Active · expires Jul 24, 2028
CLIA Number41D2285652
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2026
Certificate Expiration DateJuly 24, 2028
Laboratory DirectorSu Luo
Laboratory Phone(401) 943-0761
Laboratory LocationCoastal Dermatology & Cosmetic Center750 Reservoir Ave, Cranston, RI 02910
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D1016376

Coastal Derm & Cosmetic Center, Warwick Office · Warwick, RI
Active · expires Aug 26, 2027
CLIA Number41D1016376
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorSu Luo
Laboratory Phone(401) 490-4515
Laboratory LocationCoastal Derm & Cosmetic Center, Warwick Office215 Toll Gate Rd Ste 206A, Warwick, RI 02886
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Derm & Cosmetic Center, Inc's NPI number?

The NPI number for Coastal Derm & Cosmetic Center, Inc is 1528487683. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Coastal Derm & Cosmetic Center, Inc located?

Coastal Derm & Cosmetic Center, Inc is located at 750 Reservoir Ave, Cranston, RI 02910. The listed phone number is (401) 943-0761.

What is Coastal Derm & Cosmetic Center, Inc's specialty?

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

Is Coastal Derm & Cosmetic Center, Inc enrolled in Medicare?

Yes. Coastal Derm & Cosmetic Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Derm & Cosmetic Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastal Derm & Cosmetic Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (4) and Nurse Practitioner (2). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coastal Derm & Cosmetic Center, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Coastal Derm & Cosmetic Center, Inc was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.