BROOKLINE DERMATOLOGY ASSOCIATES, PC (NPI# 1811399025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811399025 |
| Entity Type | Organization |
| Organization Name | BROOKLINE DERMATOLOGY ASSOCIATES, PC |
| Practice Address |
235 Cypress St Suite 200 Brookline MA 02445-6776 |
| Mailing Address |
1208b Vfw Pkwy Sutie 200 West Roxbury MA 02132-4349 |
| Practice Telephone | 6172770800 |
| Practice Fax Number | 6172770899 |
| Mailing Telephone | 6176081575 |
| Mailing Fax Number | 6176051576 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | MARYJANE MUSHOW (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6176081575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
57991 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093900854 | Brookline Dermatology Associates, PC | Dermatology | 235 Cypress St Ste 200, Brookline, MA 02445-6777 | 2007-09-13 |
| Street Address |
235 CYPRESS ST SUITE 200 |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-6776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053300145 | Donald Jay Morris | Plastic Surgery | 235 Cypress St, Suite 210, Brookline, MA 02445-6776 | 2005-10-20 |
| 1457892929 | Gabriella Shifra Greif | Physical Therapist | 235 Cypress St, Ste 110, Brookline, MA 02445-6776 | 2017-03-16 |
| 1457805483 | Cherie Stankus | Physical Therapist | 235 Cypress St, Suite 110, Brookline, MA 02445-6776 | 2016-08-08 |
| 1861946121 | Christian Reyes | Physical Therapist | 235 Cypress St, Suite 115, Brookline, MA 02445-6776 | 2016-08-04 |
| 1962880153 | Brookline Derm LLC | Dermatology | 235 Cypress St, Suite 200, Brookline, MA 02445-6776 | 2015-05-08 |
| 1447647284 | Victoria Rose Patterson | Clinic/Center | 235 Cypress St, Suite 110, Brookline, MA 02445-6776 | 2015-04-20 |
| 1003209883 | Kendra Read | Plastic Surgery | 235 Cypress St, Brookline, MA 02445-6776 | 2015-03-18 |
| 1699176230 | Brian Davis | Physical Therapist | 235 Cypress St, Suite 110, Brookline, MA 02445-6776 | 2014-09-15 |
| 1750702114 | Deanna Santanello | Physical Therapist | 235 Cypress St, Suite 110, Brookline, MA 02445-6776 | 2014-01-02 |
| 1679813950 | Boston Post Adoption Resources, Inc. | Community/Behavioral Health | 235 Cypress St, Brookline, MA 02445-6776 | 2013-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176277 | Dennis A Porto Md PC | Dermatology | 1 Maple St Ste 2, Milford, MA 01757-5614 | 2020-08-24 |
| 1619295847 | Lara Kathryn Butler | Dermatology | One Scobee Circle, Unit 3, South Shore Skin Center, Plymouth, MA 02360 | 2010-05-12 |
| 1407905961 | Greater Metrowest Dermsurgeons, LLC | Dermatology | 57 Providence Hwy, Norwood, MA 02062 | 2007-01-10 |
| 1295841138 | Steven J Garrett | Dermatology | Mashpee Health Center, 5 Industrial Dr, Suite 109, Mashpee, MA 02649 | 2006-08-22 |
| 1477572816 | Marina Kuperman-beade | Dermatology | 1030 President Ave Ste 306, Fall River, MA 02720-5923 | 2006-07-18 |
| 1932186772 | Benjamin Arthur Solky | Dermatology | 160 Saint Botolph St, Boston, MA 02115-5119 | 2005-12-22 |
| 1518958297 | Christine M Hayes | Dermatology | 33 Village Sq, Chelmsford, MA 01824-2712 | 2005-11-02 |
| 1518958289 | Niels C. Krejci | Dermatology | 128 Carnegie Row, Norwood, MA 02062-5010 | 2005-11-02 |
| 1124014006 | Stephen O. Kovacs | Dermatology | 77 Warren St., Suite 302, Brighton, MA 02135-3514 | 2005-09-26 |
| 1851860605 | Nesc - Win-lah, LLC | Dermatology | 27 Village Square, Chelmsford, MA 01824 | 2018-11-21 |
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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.