Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariwalla Dermatology, PLLC

Organization MOHS-Micrographic Surgery Physician · NPI 1891094322

Mariwalla Dermatology, PLLC is an MOHS-Micrographic Surgery Physician in West Islip, New York. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1253 Montauk Hwy
West Islip, NY 11795-4916
Phone: (631) 665-3376
Fax: (631) 969-3376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1891094322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kavita Mariwalla — Owner · (631) 665-3376
NPI enumeratedMarch 23, 2011
Last updated in NPPESApril 20, 2017
Mailing address1253 Montauk Hwy, West Islip, NY 11795-4916