MONIQUE E ROTH


Address: 1 Lyons St, Dedham, MA 02026-5599
Phone: 7813291400

MONIQUE E ROTH (NPI# 1427055953) 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) 1427055953
Entity Type Individual
Full Name MONIQUE E ROTH
Credential MD
Practice Address 1 Lyons St
Dedham
MA 02026-5599
Mailing Address Po Box 9120
Dedham
MA 02027-9120
Practice Telephone 7813291400
Practice Fax Number 7812785667
Mailing Telephone 7813291400
Mailing Fax Number 7812785667
Enumeration Date 2005-06-30
Last Update Date 2010-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 75907 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UNITED HEALTHCARE(HMO/PPO 0300320 01
CIGNA HEALTH CARE 2733572 01
HARVARD PILGRIM PPO 401095 01
HMO BLUE/BLUE CHOICE J16188 01
TUFTS TOTAL HEALTH PLAN 075907 01
MASS.HEALTH(DIV.MEDSVCS) 3193B70 01
BLUE SHIELD INDEMNITY J16188 01
BS-BLUE CARE ELECT J16188 01
NEIGHBORHOOD HEALTH PLAN 0014523 01
TUFTS 075907 01
CHILDREN'S MED. SECURITY 27684 01
HARVARD PILGRIM 401095 01
FIRST SENIORITY G17464 01
RAILROAD MEDICARE 070013072 01
TUFTS COMMONWEALTH PPO 075907 01
MA HEALTHSOURCE 2733572 01
HARVARD PILGRIM POS 401095 01
TUFTS BENEFIT ADMIN. 075907 01

Office Location

Street Address 1 LYONS ST
City DEDHAM
State MA
Zip Code 02026-5599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780680488 Michael S Shusterman Pediatrics 1 Lyons St, Dedham, MA 02026-5599 2005-06-27
1760014732 Kwai Ying Lam Dietitian, Registered 1 Lyons St, Dedham, MA 02026-5599 2020-02-07
1841857422 Lauren Elizabeth Rogerson Physical Therapist 1 Lyons St, Dedham, MA 02026-5599 2019-05-20
1619453859 Mathew Steven Sadowski Physical Therapist 1 Lyons St, Dedham, MA 02026-5599 2018-07-11
1689160269 Brittany Thibodeau Audiologist 1 Lyons St, Dedham, MA 02026-5599 2018-07-06
1568964054 Mario Fernando Jaramillo Technician/Technologist 1 Lyons St, Dedham, MA 02026-5599 2018-03-01
1902338023 Laurie Cook Technician/Technologist 1 Lyons St, Dedham, MA 02026-5599 2017-03-29
1952858441 Nicole Marie Ikeda Physician Assistant 1 Lyons St, Dept. of Dermatology, Dedham, MA 02026 2016-09-01
1982072153 Atrius Health, Inc. Dietitian, Registered 1 Lyons St, Dedham, MA 02026-5599 2015-09-04
1336521319 Michael Tanzi Technician/Technologist 1 Lyons St, Dedham, MA 02026-5599 2015-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649879651 Convenientmd LLC Clinic/Center 983 Boston-providence Turnpike, Dedham, MA 02026 2020-10-21
1497354674 Lifetime Physical Therapy Physical Therapist 453 Sprague St, Dedham, MA 02026 2020-10-20
1164060067 Healthy Healing Home Care Agency LLC In Home Supportive Care 3 Allied Dr Suite 303, Dedham, MA 02026 2019-12-11
1689149023 Alyssa Michel Counselor 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 2018-10-12
1467968800 Joshua A Helm Chiropractor 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 2017-12-21
1598283848 Jason Peltier Physical Therapist 606 Providence Highway, Dedham, MA 02026 2017-09-07
1558883371 Padme Physical Therpay Clinic/Center 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 2017-07-13
1851828107 Pm Pediatrics of New England Pediatrics 719 Providence Highway, Dedham, NY 02026 2017-05-17
1740715846 Stil Legacy Dedham Physical Therapist 227 Legacy Place, Dedham, MA 02026 2017-04-26
1053856310 Donald Hughes Social Worker 270 Bridge Street, Suite 301, Dedham, MA 02026 2016-12-22
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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
1023515277 Vibrant Dermatology Pllc Dermatology 588 Providence Hwy, Dedham, MA 02026-6804 2018-04-12
1144454661 Laurel Mianecki Morton Dermatology 1 Lyons St, Dedham, MA 02026-5599 2009-05-12
1407856586 Dedham Medical Associates Dermatology 1 Lyons St, Dedham, MA 02026-5599 2005-07-29
1932106572 Thomas Cooper Dermatology 1 Lyons St, Dedham, MA 02026-5599 2005-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669090445 Peter T Demos Md Dermatology 125 Liberty St Ste 206, Springfield, MA 01103-1109 2020-07-08
1376180760 Integrated Dermatology of Needham, LLC Dermatology 60 Dedham Ave Ste 206, Needham, MA 02492-3061 2019-12-04
1164069647 Integrated Dermatology of Mashton, LLC Dermatology 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 2019-12-04
1972164937 Kuchnir Realty, LLC Dermatology 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 2019-06-21
1265098032 Mark Amster Derm Dermatology 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 2019-05-16
1831684224 Chotinij Lertphanichkul Dermatology 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 2018-06-27
1437665908 Kuchnir Dermatology, PC Dermatology 20 Hope Ave Ste 105, Waltham, MA 02453-2717 2017-12-20
1265941082 Integrated Dermatology Group, LLC Dermatology 280 Washington St Ste 212, Brighton, MA 02135-3511 2017-09-25
1679098750 Avant-garde Medical LLC Dermatology 62 Pleasant St, Natick, MA 01760-5634 2017-08-09
1902329832 Abeer Alsarheed Dermatology 30 Dalton St Apt 1510, Boston, MA 02115-3178 2017-07-23
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Competitor

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City DEDHAM
Zip Code 02026

Improve Information

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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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