OrganizationActive
Surgical & Cosmetic Dermatology of Rhode Island, LLC
NPI 1770770547 · MOHS-Micrographic Surgery Physician · Providence, RI
Provider details
- NPI number
- 1770770547
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marina Kuperman-Beade, Owner(401) 751-7546
- License
- MD10753 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1 Randall Sq
Suite 306
Providence, RI 02904-2709
Phone: (401) 751-7546
Fax: (401) 751-6888
Street-level locationGet directions
Mailing address
1 Randall Sq
Providence, RI 02904-2709
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2016-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.