ATLANTIC BOULEVARD DERMATOLOGY
NPI 1609975374
Dermatology in Jacksonville, FL
NPI Status: Active since September 21, 2006
Contact Information
13111 ATLANTIC BLVD
SUITE #4
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 221-3100
Fax: (904) 221-3107
- Organization
- Dermatology
About ATLANTIC BOULEVARD DERMATOLOGY
This page provides the complete NPI Profile along with additional information for Atlantic Boulevard Dermatology, a provider established in Jacksonville, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1609975374 assigned on September 2006. The practitioner's primary taxonomy code is 207N00000X with license number ME63627 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Atlantic Boulevard Dermatology. The authorized official of this NPI record is Dr. John Morello M.d. (President)
- NPI
- 1609975374
- Provider Legal Name
- JOHN MORELLO MD
- Other Organization Name
- ATLANTIC BOULEVARD DERMATOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 13111 ATLANTIC BLVD SUITE #4 JACKSONVILLE, FL 32225
- Location Phone
- (904) 221-3100
- Location Fax
- (904) 221-3107
- Mailing Address
- 2295 OCEANSIDE CT ATLANTIC BEACH, FL 32233
- Mailing Phone
- (904) 247-6461
- Mailing Fax
- (904) 221-3107
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2006
- Last Update Date
- 03-07-2023
- Code Navigator
A dermatologist like Atlantic Boulevard Dermatology is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME63627
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | ME63627 (FL) |
| 2 | 207NI0002X | Allopathic & Osteopathic Physicians | Dermatology | ME63627 (FL) |
| 3 | 207NP0225X | Allopathic & Osteopathic Physicians | Dermatology | ME63627 (FL) |
| 4 | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology | ME63627 (FL) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28207 | OTHER (01) | FL | BCBS OF FL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 9 | 7 | 5 | 3 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 7 | 10 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 8 + 7 + 1 + 0 + 3 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1609975374 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770873820 | RACHEL ANNE STARNES LMT Individual | Specialist | 13111 ATLANTIC BLVD SUITE 2 JACKSONVILLE, FL 32225 (904) 221-2232 |
| 1578999249 | DR. LYNNE CARROLL PHD Individual | Psychologist (Counseling) | 13111 ATLANTIC BLVD SUITE 2 JACKSONVILLE, FL 32225 (904) 239-3677 |
| 1114374493 | COLLEEN WRIGHT Organization | Counselor (Mental Health) | 13111 ATLANTIC BLVD SUITE 2 JACKSONVILLE, FL 32225 (904) 239-3677 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609975374, enumerated in the NPI registry as an "organization" on September 21, 2006
The provider is located at 13111 Atlantic Blvd Suite #4 Jacksonville, Fl 32225 and the phone number is (904) 221-3100
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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