DERMATOLOGY ASSOCIATES OF GREATER BOSTON PC (DERMATOLOGY & SKIN CARE ASSOC PC) NPI 1003005331
Dermatology in Wellesley, MA
About DERMATOLOGY ASSOCIATES OF GREATER BOSTON PC (DERMATOLOGY & SKIN CARE ASSOC PC)
Dermatology Associates Of Greater Boston Pc (dermatology & Skin Care Assoc Pc) is a provider established in Wellesley, Massachusetts specializing in dermatology. The NPI number of Dermatology Associates Of Greater Boston Pc (dermatology & Skin Care Assoc Pc) is 1003005331 and was assigned on October 2007. The practitioner's primary taxonomy code is 207N00000X with license number 216859 (MA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Dermatology Associates Of Greater Boston Pc (dermatology & Skin Care Assoc Pc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Dermatology Associates Of Greater Boston Pc. The authorized official of this NPI record is Dr. Pamela K Weinfeld Md (President)
A dermatologist like Dermatology Associates Of Greater Boston Pc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
The CLIA number of Dermatology Associates Of Greater Boston Pc is 22D1080912 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Dermatology Associates Of Greater Boston Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
| NPI | 1003005331 |
| Provider Name | DERMATOLOGY ASSOCIATES OF GREATER BOSTON PC (DERMATOLOGY & SKIN CARE ASSOC PC) |
| Provider Location Address | 10 LAUREL AVE SUITE 300 WELLESLEY, MA 02481 |
| Provider Mailing Address | 10 LAUREL AVE SUITE 300 WELLESLEY, MA 02481 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | DERMATOLOGY ASSOCIATES OF GREATER BOSTON PC |
| Other Name Type | Former Legal Business Name (4) |
| Enumeration Date | 10-23-2007 |
| Last Update Date | 03-27-2008 |
Primary Taxonomy
| Taxonomy Code | 207N00000X |
| Classification | Dermatology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 216859 |
| License State | MA |
| Taxonomy Description | 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. |
Business Address
DERMATOLOGY ASSOCIATES OF GREATER BOSTON PC
10 LAUREL AVE SUITE 300
WELLESLEY, MA
ZIP 02481
Phone: (781) 235-8155
Fax: (781) 235-2855
Mailing Address
DERMATOLOGY ASSOCIATES OF GREATER BOSTON PC
10 LAUREL AVE SUITE 300
WELLESLEY, MA
ZIP 02481
Phone: (781) 235-8155
Fax: (781) 235-2855
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003005331 is:
| CLIA Number | 22D1080912 |
| Facility Type | PHYSICIAN OFFICE |
| Certificate Type | Certificate of Compliance |
Group Taxonomy
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| M19446 | OTHER (01) | MA |
| H90994 | MEDICARE UPIN (02) |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.