NEDA AT NORTH SHORE PC (NPI# 1902345861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902345861 |
| Entity Type | Organization |
| Organization Name | NEDA AT NORTH SHORE PC |
| Practice Address |
1 Widger Road Marblehead MA 01945 |
| Mailing Address |
280 Merrimack St Suite 311 Lawrence MA 01843-1779 |
| Practice Telephone | 9786915690 |
| Practice Fax Number | 9786915693 |
| Mailing Telephone | 9786915690 |
| Mailing Fax Number | 9786915693 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JANELLE GORFINKLE (CREDENTIALING) |
| Authorized Official Telephone | 9786915690 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST DERMATOLOGY ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Paradise Rd, Salem, MA 019704229 | 9786915690 | 9786915693 |
| Street Address |
1 WIDGER ROAD |
| City | MARBLEHEAD |
| State | MA |
| Zip Code | 01945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538262670 | Mark Alan Lewis | Dermatology | 1 Widger Road, Marblehead, MA 01948 | 2006-09-06 |
| 1750429023 | Leon L Remis Md PC | Ophthalmology | 1 Widger Road, Suite 108, Marblehead, MA 01945 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801372271 | Jill Barri Schwartz | Social Worker | 49 Gerald Rd, Marblehead, MA 01945 | 2018-07-18 |
| 1588075550 | Seaport Chiropractic | Point of Service | 28 Bessom Street, Marblehead, MA 01945 | 2014-05-13 |
| 1295163905 | Jennifer Ann Downey Wolcott | Counselor | 12 Driftwood Rd, Marblehead, MA 01945 | 2013-10-16 |
| 1710320825 | Darcy Gilbo | Mechanotherapist | Integrative Muscular Therapy 40 Tioga Way, Suite 110, Marblehead, MA 01945 | 2013-04-09 |
| 1346597283 | Adam Ciccio | Counselor | 70 Atlantic Avenue, Unit 8, Marblehead, MA 01945 | 2012-08-09 |
| 1346511862 | Mary Macary Demakes | Registered Nurse | 183 Pleasant St, Marblehead, MA 01945 | 2012-01-13 |
| 1164704896 | Amanda Tripp Hayes | Counselor | 2 Cypress St, Marblehead, MA 01945 | 2011-09-20 |
| 1053544817 | Marblehead Community Charter Public School | Local Education Agency (LEA) | 17 Lime Street, Marblehead, MA 01945 | 2009-08-27 |
| 1992973416 | Stuart M Sandfield | Dentist | 47 Atlantic Ave, Marblehead, MA 01945 | 2008-02-19 |
| 1841311065 | Howard Rosenkrantz | Dentist | 203 Humphrey St, Marblehead, MA 01945 | 2007-04-03 |
| Find all providers in zip 01945 | ||||
| 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 |
|---|---|---|---|---|
| 1538262670 | Mark Alan Lewis | Dermatology | 1 Widger Road, Marblehead, MA 01948 | 2006-09-06 |
| 1073905386 | Mark A Lewis, Md | Dermatology | 1 Widger Rd, 308, Marblehead, MA 01945-2146 | 2015-02-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MARBLEHEAD |
| Zip Code | 01945 |
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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.