NORTHEAST DERMATOLOGY ASSOCIATES, PC


Address: 138 Conant St, Beverly, MA 01915-1665
Phone: 9789275254

NORTHEAST DERMATOLOGY ASSOCIATES, PC (NPI# 1407258494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407258494
Entity Type Organization
Organization Name NORTHEAST DERMATOLOGY ASSOCIATES, PC
Other Organization Name NEDA
Practice Address 138 Conant St
Beverly
MA 01915-1665
Mailing Address 401 Andover St
Suite 101
North Andover
MA 01845-5076
Practice Telephone 9789275254
Mailing Telephone 9786915690
Enumeration Date 2014-09-22
Last Update Date 2014-09-22
Authorized Official Name LEILA BELL (CEO)
Authorized Official Telephone 9786915699
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
MA Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
MA Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology MA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
NEDA Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699180620 Northeast Dermatology Associates, PC Dermatology 138 Conant St, First Floor, Beverly, MA 01915-1665 2014-06-28
1508061839 Northeast Dermatology Associates, PC Specialist 23 Hampton Rd, Exeter, NH 03833-4807 2007-06-18
1104921162 Northeast Dermatology Associates, PC Specialist 538 Turnpike St, North Andover, MA 01845 2006-09-14

Office Location

Street Address 138 CONANT ST
City BEVERLY
State MA
Zip Code 01915-1665

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205931789 David S Greenstein Dermatology 138 Conant St, 1st Fl, Beverly, MA 01915-1665 2006-09-13
1861864100 Nedab LLC Dermatology 138 Conant St, Beverly, MA 01915-1665 2015-10-27
1699180620 Northeast Dermatology Associates, PC Dermatology 138 Conant St, First Floor, Beverly, MA 01915-1665 2014-06-28
1700208345 Nicole Branum Physician Assistant 138 Conant St, Beverly, MA 01915-1665 2014-01-16
1477741031 Robb J Marchione Dermatology 138 Conant St, 1st Floor, Beverly, MA 01915-1665 2007-10-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497377253 Janice E. Schwartz Psychologist 100 Cummings Center, 232 C, Beverly, MA 01915 2020-05-14
1720625452 Campos Dental Care PC Dentist 127 Dodge Street, Beverly, MA 01915 2019-12-02
1144781477 Nutrimedy Dietitian, Registered 6 Oceanside Drive, Beverly, MA 01915 2019-03-28
1376001073 Benjamin David Stebbings Counselor 199 Rosewood Dr. Suite 250, Beverly, MA 01915 2019-03-12
1376000455 Patrick Matthew Noble Occupational Therapist Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 2019-02-26
1174007900 Nicole Morreo Psychologist 480 Rantoul St., 208, Beverly, MA 01915 2018-09-18
1891282299 Jeanne Tomich Psychologist 110 Hart St., Beverly, MA 01915 2018-04-20
1518469089 Kathleen L Golemon Specialist 100 Cummings Center Suite 158-d, Beverly, MA 01915 2018-03-01
1629582556 Sarah Elizabeth Tsouvalas Nurse Practitioner 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 2017-11-30
1235657339 Kathleen Ann Downey Registered Nurse Element Care, 166d Cummings Center, Beverly, MA 01915 2017-09-08
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871932590 Vladimir Ratushny Dermatology 900 Cummings Ctr # 311, Beverly, MA 01915-6198 2013-06-15
1205931789 David S Greenstein Dermatology 138 Conant St, 1st Fl, Beverly, MA 01915-1665 2006-09-13
1033655667 Massderm Billing PC Dermatology 900 Cummings Ctr, Suite 311-t, Beverly, MA 01915-6198 2017-01-06
1861864100 Nedab LLC Dermatology 138 Conant St, Beverly, MA 01915-1665 2015-10-27
1770906323 Massachusetts Dermatology Associates, P.C. Dermatology 900 Cummings Ctr, Suite 311-t, Beverly, MA 01915-6198 2014-01-31
1396167763 Massachusetts Dermatology Associates, P.C. Dermatology 900 Cummings Ctr, Suite 311-t, Beverly, MA 01915-6198 2014-01-20
1609208321 Robert J Obrien Jr Md and Associates PC Dermatology 83 Herrick St, Suite 3000, Beverly, MA 01915-2757 2013-08-05
1730526484 University Skin Oncologists, Inc Dermatology 85 Herrick St, Oncology Center, Beverly, MA 01915-1790 2013-06-03
1437476975 Sabina Bis Dermatology 900 Cummings Ctr, Suite 311-t, Beverly, MA 01915-6198 2010-04-23
1477741031 Robb J Marchione Dermatology 138 Conant St, 1st Floor, Beverly, MA 01915-1665 2007-10-09
Find all providers in BEVERLY

Competitor

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City BEVERLY
Zip Code 01915

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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