OrganizationActive
North Shore Dermatology, S.c.
NPI 1649399080 · Dermatology Physician · Mequon, WI
Provider details
- NPI number
- 1649399080
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Bonfiglio, Owner Physician(262) 240-0440
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
10303 N Port Washington Rd
Suite 101
Mequon, WI 53092-5760
Phone: (262) 240-0440
Fax: (262) 240-0441
Street-level locationGet directions
Mailing address
10303 N Port Washington Rd
Mequon, WI 53092-5760
Other names (DBA / former)
- Former legal business name
- Drs. Meister and Bonfiglio, S.c.
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2007-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.