Laboratory of Dermatopathology Adx, LLC
NPI 1487663860 · Dermatopathology (Pathology) Physician · Woodbury, NY
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laboratory of Dermatopathology Adx, LLC is a Dermatopathology (Pathology) Physician organization in Woodbury, NY (NPI 1487663860).
Provider details
- NPI number
- 1487663860
- Entity type
- Organization
- Primary specialty
- Dermatopathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Grattendick, Cfo(561) 514-5822
- License
- PFI 3199 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
42,497 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 32,762 | $55 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 3,695 | $90 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 3,572 | $78 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 1,884 | $107 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 197 | $49 |
| Special Stained Specimen Slides to Examine Tissue Including Interpretation and Report88313 | 189 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2019-08-28
Frequently asked questions
- What is Laboratory of Dermatopathology Adx, LLC's NPI number?
- Laboratory of Dermatopathology Adx, LLC's National Provider Identifier (NPI) is 1487663860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Laboratory of Dermatopathology Adx, LLC?
- Laboratory of Dermatopathology Adx, LLC is classified in the NPPES registry as Dermatopathology (Pathology) Physician (Allopathic & Osteopathic Physicians).
- Where is Laboratory of Dermatopathology Adx, LLC located?
- Laboratory of Dermatopathology Adx, LLC's practice location on file with NPPES is 80 Crossways Park Drive, Woodbury, NY 11797-2047.
- What is Laboratory of Dermatopathology Adx, LLC's phone number?
- The practice phone number listed in the NPPES registry for Laboratory of Dermatopathology Adx, LLC is (516) 944-3883.
- Does Laboratory of Dermatopathology Adx, LLC accept Medicare?
- Laboratory of Dermatopathology Adx, LLC 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 Laboratory of Dermatopathology Adx, LLC?
- The authorized official listed on Laboratory of Dermatopathology Adx, LLC's NPPES record is Michael Grattendick, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Laboratory of Dermatopathology Adx, LLC's NPI active?
- Yes — Laboratory of Dermatopathology Adx, LLC's NPI (1487663860) is active in the NPPES registry as of the last update on 2019-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.