Fairfax Acne & Dermatology Services, PC
NPI 1245947332 · Nurse Practitioner · East Providence, RI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairfax Acne & Dermatology Services, PC is a Nurse Practitioner organization in East Providence, RI (NPI 1245947332).
Provider details
- NPI number
- 1245947332
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Diana Fairfax, Owner(508) 404-3853
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fairfax Acne & Dermatology, PC
Registry dates
- Enumerated
- 2022-10-31
- Last updated
- 2022-10-31
- Certified
- 2022-10-29
Frequently asked questions
- What is Fairfax Acne & Dermatology Services, PC's NPI number?
- Fairfax Acne & Dermatology Services, PC's National Provider Identifier (NPI) is 1245947332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairfax Acne & Dermatology Services, PC?
- Fairfax Acne & Dermatology Services, PC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fairfax Acne & Dermatology Services, PC located?
- Fairfax Acne & Dermatology Services, PC's practice location on file with NPPES is 1275 Wampanoag Trail, East Providence, RI 02915-1217.
- What is Fairfax Acne & Dermatology Services, PC's phone number?
- The practice phone number listed in the NPPES registry for Fairfax Acne & Dermatology Services, PC is (508) 404-4853.
- Does Fairfax Acne & Dermatology Services, PC accept Medicare?
- Fairfax Acne & Dermatology Services, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairfax Acne & Dermatology Services, PC?
- The authorized official listed on Fairfax Acne & Dermatology Services, PC's NPPES record is Diana Fairfax, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairfax Acne & Dermatology Services, PC's NPI active?
- Yes — Fairfax Acne & Dermatology Services, PC's NPI (1245947332) is active in the NPPES registry as of the last update on 2022-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.