GOLD COAST DERMATOLOGY PC
NPI 1578138343
Dermatology in Commack, NY
About Gold Coast Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLD COAST DERMATOLOGY PC (NPI 1578138343) is a healthcare organization registered as a dermatology in Commack, New York and active in the NPI registry since May 2021. The organization lists Charisse L Mccall, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gold Coast Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gold Coast Dermatology PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Gold Coast Dermatology PC's NPI number?
The NPI number for Gold Coast Dermatology PC is 1578138343. It was assigned to this organization in the NPPES registry on May 25, 2021.
Where is Gold Coast Dermatology PC located?
Gold Coast Dermatology PC is located at 149 Commack Rd Ste B, Commack, NY 11725. The listed phone number is (631) 467-4653.
What is Gold Coast Dermatology PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Gold Coast Dermatology PC enrolled in Medicare?
Yes. Gold Coast Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gold Coast Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Gold Coast Dermatology PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gold Coast Dermatology PC was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.