NEDAB LLC (NPI# 1861864100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861864100 |
Entity Type | Organization |
Organization Name | NEDAB LLC |
Other Organization Name | NORTHEAST DERMATOLOGY ASSOCIATES, PC |
Practice Address |
138 Conant St Beverly MA 01915-1665 |
Mailing Address |
401 Andover St Suite 101 North Andover MA 01845-5076 |
Practice Telephone | 9789275254 |
Practice Fax Number | 9789211418 |
Mailing Telephone | 9786915690 |
Mailing Fax Number | 9786915693 |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |
Authorized Official Name | DR. JEREMY P FINKLE (PRESIDENT) |
Authorized Official Telephone | 9786915696 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
NORTHEAST DERMATOLOGY ASSOCIATES, PC | Doing Business As Name - Organization |
Street Address |
138 CONANT ST |
City | BEVERLY |
State | MA |
Zip Code | 01915-1665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205931789 | David S Greenstein | Dermatology | 138 Conant St, 1st Fl, Beverly, MA 01915-1665 | 2006-09-13 |
1407258494 | Northeast Dermatology Associates, PC | Dermatology | 138 Conant St, Beverly, MA 01915-1665 | 2014-09-22 |
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 |
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 |
Find all providers in zip 01915 |
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 |
---|---|---|---|---|
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 |
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 |
1538297676 | Jordan M Cummins | Dermatology | 900 Cummings Ctr, Suite 311-t, Beverly, MA 01915-6198 | 2007-03-01 |
Find all providers in BEVERLY |
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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.