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FERRARA DERMATOLOGY CLINIC PC
NPI 1629169578
Specialist in Grosse Pointe Woods, MI

Active since September 27, 2006CLIA 23D0695096 · Microscopy
20045 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 884-5100 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ferrara Dermatology Clinic Pc NPPES

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

FERRARA DERMATOLOGY CLINIC PC (NPI 1629169578) is a healthcare organization registered as a specialist in Grosse Pointe Woods, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through July 12, 2028 and lists Richard John Ferrara Jr, Owner, as its authorized official.

NPPES Registry Identity

NPI1629169578
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFERRARA DERMATOLOGY CLINIC PC
Location Address20045 MACK AVEGrosse Pointe Woods, MI 48236-2322
Mailing Address20045 Mack AveGrosse Pointe Woods, MI 48236-2322
Phone(313) 884-5100
Organization SubpartNo
Authorized OfficialRichard John Ferrara JrOwner · (313) 884-5100
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629169578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301057129
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20045 MACK AVE, Grosse Pointe Woods, MI 48236
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Other Identifiers 1

Medicaid2774745MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 23D0695096

Ferrara Dermatology Clinic · Grosse Pointe Woods, MI
Active · expires Jul 12, 2028
CLIA Number23D0695096
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorRichard J. Ferrara
Laboratory Phone(313) 884-5100
Laboratory LocationFerrara Dermatology Clinic20045 Mack Ave, Grosse Pointe Woods, MI 48236
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 3

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

MR. JOHN ROBERT SOBOTKA PA-C
Physician Assistant
20045 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 884-5100
DR. KATHERINE LYNN CARETTI M.D.
Dermatology
20045 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 884-5100
DR. RICHARD JOHN FERRARA JR. MD
Dermatology
20045 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 884-5100

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 Ferrara Dermatology Clinic PC's NPI number?

The NPI number for Ferrara Dermatology Clinic PC is 1629169578. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Ferrara Dermatology Clinic PC located?

Ferrara Dermatology Clinic PC is located at 20045 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 884-5100.

What is Ferrara Dermatology Clinic PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Ferrara Dermatology Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0695096) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ferrara Dermatology Clinic PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ferrara Dermatology Clinic PC 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 Ferrara Dermatology Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.