Avalon Dermatology LLC
Avalon Dermatology LLC is a healthcare organization registered as Dermatology Physician in Warren, OH, holding Type 2 (organization) NPI 1366208456 since 2024. The authorized official on file is Robert Moosally, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366208456 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avalon Dermatology LLC |
| Other name | <Unavail> |
| Practice address | 1 AMERICAN WAY NE, Warren, OH, 44484 |
| Phone | 3306098814 |
| Enumeration date | 2024-02-26 |
| Last updated in NPPES | 2024-04-17 |
Authorized official
| Name | Robert Moosally |
|---|---|
| Title | Medical Director |
| Phone | 3306098814 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | — | — |
Copy-ready billing details
Provider: Avalon Dermatology LLC NPI: 1366208456 Taxonomy: 207N00000X (Dermatology Physician) Address: 1 AMERICAN WAY NE, Warren, OH, 44484
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437686318 | Rasnik Dulay | Individual | Dermatology Physician | Warren, OH |
Verify this record
Cross-check NPI 1366208456 against the authoritative CMS record: view Avalon Dermatology LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Avalon Dermatology LLC?
Who is the authorized official for Avalon Dermatology LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-17.