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AGAPE DERMATOLOGY
NPI 1548685985
Dermatology in Johnston, RI

Active since February 21, 2014
1526 ATWOOD AVE STE 220, JOHNSTON, RI 02919(401) 396-2227(401) 421-1120 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 7, 2025, Feb 9, 2024, Jun 24, 2020 (3 updates tracked since 2020).

About Agape Dermatology NPPES

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

AGAPE DERMATOLOGY (NPI 1548685985) is a healthcare organization registered as a dermatology in Johnston, Rhode Island and active in the NPI registry since February 2014. The organization lists Paul Mallari, Owner, as its authorized official.

NPPES Registry Identity

NPI1548685985
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAGAPE MEDICAL SPA OF WARWICK, INC
Location Address1526 ATWOOD AVE STE 220Johnston, RI 02919-3289
Mailing Address1526 Atwood Ave Ste 210Johnston, RI 02919-3289 · (401) 737-7546 · Fax (401) 421-1120
Phone(401) 396-2227
Fax(401) 421-1120
Organization SubpartNo
Authorized OfficialPaul MallariOwner · (401) 529-7787
Enumeration DateFebruary 21, 2014
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1548685985 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.
1526 ATWOOD AVE STE 220, Johnston, RI 02919
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Other Names 1

Doing Business AsAgape Dermatology

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)

Agape Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Agape Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Paul Zaydon, MD
Dermatology
NPI 1700892726
115 NEWPORT AVE
Pawtucket, RI 02861
(401) 723-4290
✔ PECOS8.0 mi
Gina La Prova, MD
Family Practice
NPI 1184690299
2140 MENDON RD
Cumberland, RI 02864
(401) 642-2072
✔ PECOS✔ Accepts Medicare9.1 mi

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

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 Agape Medical Spa Of Warwick, Inc's NPI number?

The NPI number for Agape Medical Spa Of Warwick, Inc is 1548685985. It was assigned to this organization in the NPPES registry on February 21, 2014. The provider is doing business as Agape Dermatology.

Where is Agape Medical Spa Of Warwick, Inc located?

Agape Medical Spa Of Warwick, Inc is located at 1526 Atwood Ave Ste 220, Johnston, RI 02919. The listed phone number is (401) 396-2227.

What is Agape Medical Spa Of Warwick, Inc's specialty?

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

Is Agape Medical Spa Of Warwick, Inc enrolled in Medicare?

Yes. Agape Medical Spa Of Warwick, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agape Medical Spa Of Warwick, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Agape Medical Spa Of Warwick, Inc, in Dermatology and Family Practice. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Agape Medical Spa Of Warwick, Inc was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.