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ASPIRE DERMATOLOGY LLC
NPI 1700176849
Dermatology - MOHS-Micrographic Surgery in Middletown, RI

Active since April 11, 2011CLIA Certified · 12 labs
102 VALLEY RD, MIDDLETOWN, RI 02842(401) 239-1800(401) 239-1801 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Aspire Dermatology Llc NPPES

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

ASPIRE DERMATOLOGY LLC (NPI 1700176849) is a healthcare organization registered as a mohs-micrographic surgery in Middletown, Rhode Island and active in the NPI registry since April 2011. The organization holds 12 active CLIA laboratory certificates, maintains 7 additional practice locations, and lists Jason R. Michaels, Manager, as its authorized official.

NPPES Registry Identity

NPI1700176849
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameASPIRE DERMATOLOGY LLC
Location Address102 VALLEY RDMiddletown, RI 02842-5237
Mailing Address102 Valley RdMiddletown, RI 02842-5237 · (401) 239-1800 · Fax (401) 239-1801
Phone(401) 239-1800
Fax(401) 239-1801
Organization SubpartNo
Authorized OfficialJason R. MichaelsManager · (401) 239-1800
Enumeration DateApril 11, 2011
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1700176849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in RI · MD13562
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
102 VALLEY RD, Middletown, RI 02842
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Secondary Practice Locations 7

Location 12138 Mendon Rd Ste 201Cumberland, RI 02864-3835 · Phone (401) 239-1800 · Fax (401) 239-1801
Location 2618 Toll Gate RdWarwick, RI 02886-2717 · Phone (401) 239-1800 · Fax (401) 239-1801
Location 31525 Wampanoag Trl Ste 203Riverside, RI 02915-1038 · Phone (401) 239-1800 · Fax (401) 239-1801
Location 42435 Nooseneck Hill Rd Unit 1ACoventry, RI 02816-6798 · Phone (401) 239-1800 · Fax (401) 239-1801
Location 567 William S Canning BlvdTiverton, RI 02878-3003 · Phone (401) 239-1800 · Fax (401) 239-1801
Location 61524 Atwood Ave Ste 321Johnston, RI 02919-3228 · Phone (401) 239-1800 · Fax (401) 239-1801
Location 7851 Main StWarren, RI 02885-4402 · Phone (401) 239-1800 · Fax (401) 239-1801

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

CLIA Laboratory Certificates CMS CLIA 12

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 41D2138611

Aspire Dermatology - Warwick · Warwick, RI
Active · expires Jul 17, 2028
CLIA Number41D2138611
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorJason R. Michaels
Laboratory Phone(401) 239-1800
Laboratory LocationAspire Dermatology - Warwick618 Toll Gate Road, Warwick, RI 02886
CLIA data matches this NPI record on: Address Name 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 of Compliance 41D2165934

Aspire Dermatology - Middletown · Middletown, RI
Active · expires Nov 24, 2027
CLIA Number41D2165934
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorJason R. Michaels
Laboratory Phone(401) 239-1800
Laboratory LocationAspire Dermatology - Middletown102 Valley Road, Middletown, RI 02842
CLIA data matches this NPI record on: Address Name 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) 41D2177345

Aspire Dermatology - Warren · Warren, RI
Active · expires Sep 26, 2027
CLIA Number41D2177345
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorAntoine Salloum
Laboratory Phone(401) 239-1800
Laboratory LocationAspire Dermatology - Warren851 Main St, Warren, RI 02885
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.

Certificate of Compliance 41D2123457

Aspire Dermatology - Tiverton · Tiverton, RI
Active · expires Aug 22, 2027
CLIA Number41D2123457
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorJason Michaels
Laboratory Phone(401) 239-1800
Laboratory LocationAspire Dermatology - Tiverton67 William S Canning Blvd, Tiverton, RI 02878
CLIA data matches this NPI record on: Address Name 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 of Compliance 41D2089130

Aspire Dermatology - Johnston · Johnston, RI
Active · expires May 18, 2027
CLIA Number41D2089130
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorJason Michaels
Laboratory Phone(401) 239-1800
Laboratory LocationAspire Dermatology - Johnston1524 Atwood Ave Ste 321, Johnston, RI 02919
CLIA data matches this NPI record on: Address Name 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 of Compliance 41D2192553

Aspire Dermatology - Cumberland · Cumberland, RI
Active · expires Dec 2, 2026
CLIA Number41D2192553
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorSusun Michaels
Laboratory Phone(401) 239-1800
Laboratory LocationAspire Dermatology - Cumberland2138 Mendon Rd, Cumberland, RI 02864
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

TAL BUNTINX MD
Dermatology
102 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 239-1800
ASHLEY JULIETTE FERREIRA FNP-BC
Nurse Practitioner (Family)
102 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 239-1800
CHELSEA CULHANE
Nurse Practitioner
102 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 239-1800
AMANDA N FREDETTE PA-C
Physician Assistant
102 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 239-1800
ANTOINE SALLOUM MD
Dermatology
102 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 239-1800
REBBECCA SHEA PA-C
Physician Assistant (Medical)
102 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 239-1800
SHEILA ELIZABETH COLBERT PA-C
Physician Assistant
102 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 239-1800
ERINN MICHELLE SEYLER PA-C
Physician Assistant
102 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 239-1800

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 Aspire Dermatology LLC's NPI number?

The NPI number for Aspire Dermatology LLC is 1700176849. It was assigned to this organization in the NPPES registry on April 11, 2011.

Where is Aspire Dermatology LLC located?

Aspire Dermatology LLC is located at 102 Valley Rd, Middletown, RI 02842. The listed phone number is (401) 239-1800.

What is Aspire Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Aspire Dermatology LLC hold CLIA laboratory certificates?

Yes. 12 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 Aspire Dermatology LLC was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.