MEDICAL AND COSMETIC DERMATOLOGY OF CAPE COD (NPI# 1447272398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447272398 |
| Entity Type | Organization |
| Organization Name | MEDICAL AND COSMETIC DERMATOLOGY OF CAPE COD |
| Other Organization Name | MEDICAL AND COSMETIC DERMATOLOGY OF CAPE COD PC |
| Practice Address |
700 Attucks Ln Hyannis MA 02601-1809 |
| Mailing Address |
Po Box 845963 Boston MA 02284 |
| Practice Telephone | 5087717790 |
| Practice Fax Number | 5087717793 |
| Mailing Telephone | 5087717790 |
| Mailing Fax Number | 5087717793 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | DR. STEVEN ISRAEL MORENO (PHYSICIAN PRESIDENT) |
| Authorized Official Telephone | 5087717790 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9735810 | 05 | |
| MA | BLUE SHIELD | M18885 | 01 |
| Other Name | Type Code |
|---|---|
| Medical and Cosmetic Dermatology of Cape Cod PC | Other Name - Individual/Organization |
| Street Address |
700 ATTUCKS LN |
| City | HYANNIS |
| State | MA |
| Zip Code | 02601-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617100 | Jay Joseph Yamin | Internal Medicine | 700 Attucks Ln, Suite 1d, Hyannis, MA 02601-1809 | 2005-11-23 |
| 1427430891 | Austin Perera | Dentist | 700 Attucks Ln, Hyannis, MA 02601-1809 | 2015-06-22 |
| 1104249937 | Katelyn Hobill | Physician Assistant | 700 Attucks Ln, Hyannis, MA 02601-1809 | 2014-01-30 |
| 1508167313 | Robert J. Wygonski D.m.d., P.C. | Dentist | 700 Attucks Ln, Suite 2e, Hyannis, MA 02601-1809 | 2010-11-10 |
| 1689848244 | Cape and Islands Occupational Medicine, P.C. | Preventive Medicine | 700 Attucks Ln, Suite 1-e, Hyannis, MA 02601-1809 | 2008-04-15 |
| 1699958009 | Gi Clinic PC | Internal Medicine | 700 Attucks Ln, Suite 1d, Hyannis, MA 02601-1809 | 2007-12-07 |
| 1285774091 | Victor D Diamond | Dentist | 700 Attucks Ln, Suite 2b, Hyannis, MA 02601-1809 | 2007-02-08 |
| 1174675367 | Victor D Diamond Dmd PC | Dentist | 700 Attucks Ln, Suite 2b, Hyannis, MA 02601-1809 | 2007-01-17 |
| 1316094824 | Cape and Islands Endoscopy Center LLC | Clinic/Center | 700 Attucks Ln, Unit 1b, Hyannis, MA 02601-1809 | 2007-01-05 |
| 1184718991 | Endodontic Associates of Cape Cod, P.C. | Dentist | 700 Attucks Ln, Suite 2c, Hyannis, MA 02601-1809 | 2006-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
| 1184108912 | Erin Lee Rindfuss | Social Worker | 10 Independence Drive, Hyannis, MA 02601 | 2018-09-18 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1528597804 | Kaydian Karyl Roberts | Behavioral Analyst | 767 Independence Dr, Apt D101, Hyannis, MA 02601 | 2017-06-08 |
| 1801338801 | Catherine Ode | Counselor | 29 Bassett Lane, Family Continuity, Hyannis, MA 02601 | 2016-11-08 |
| 1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
| 1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
| 1164858742 | Ann Alexander Ms Rdn Lrd LLC | Dietitian, Registered | 500 Ocean St. #39, Hyannis, MA 02601 | 2013-09-16 |
| 1295089803 | Janis Sommers | Mechanotherapist | 677 West Main Street, Harwich, MA 02601 | 2012-11-05 |
| 1962797167 | Douglas Mason | Counselor | 889 West Main St., Hyannis, MA 02601 | 2011-06-15 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538468772 | Rosemara Hughart | Dermatology | 6 Main St Ste 1, Hyannis, MA 02601 | 2011-03-25 |
| 1609087774 | Emily Patricia Tierney | Dermatology | 120 Yarmouth Rd, Hyannis, MA 02601-3040 | 2007-05-24 |
| 1336230317 | James Vincent Kowalski | Dermatology | 795 West Main St, Hyannis, MA 02601-3424 | 2006-09-27 |
| 1447782883 | Rosemara Hughart, Md, PC | Dermatology | 6 Main St, Unit 1, Hyannis, MA 02601 | 2017-04-03 |
| 1679597926 | Steven Israel Moreno | Dermatology | 700 Attucks Ln, Hyannis, MA 02601-1809 | 2006-07-27 |
| 1770534927 | Medical Affiliates of Cape Cod, Inc. | Dermatology | 27 Park St, Gleason House, Hyannis, MA 02601 | 2006-05-12 |
| 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 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 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 |
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| 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.