VIBRANT DERMATOLOGY PLLC
NPI 1023515277
Dermatology in Dedham, MA

Active since April 12, 2018
588 PROVIDENCE HWY, DEDHAM, MA 02026(781) 708-9299(855) 699-6813 Get Directions Write a Review

NPPES record last updated: February 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 29, 2020, Aug 19, 2019, May 7, 2019 and 1 more (4 updates tracked since 2018).

About Vibrant Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIBRANT DERMATOLOGY PLLC (NPI 1023515277) is a healthcare organization registered as a dermatology in Dedham, Massachusetts and active in the NPI registry since April 2018. The organization maintains a secondary practice location in Canton and lists Joyce Imahiyerobo, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1023515277
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameVIBRANT DERMATOLOGY PLLC
Location Address588 PROVIDENCE HWYDedham, MA 02026-6804
Mailing Address226 Dedham StCanton, MA 02021-1566 · (617) 840-9034
Fax(855) 699-6813
Organization SubpartNo
Authorized OfficialJoyce ImahiyeroboOwner/provider · (617) 840-9034
Enumeration DateApril 12, 2018
Last NPPES UpdateFebruary 29, 20204 updates tracked since enumeration
✔ NPI 1023515277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 254815
Definition
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.
588 PROVIDENCE HWY, Dedham, MA 02026

Secondary Practice Location 1

Location 1226 Dedham StCanton, MA 02021-1566 · Phone (617) 840-9034

Other Identifiers 1

Medicaid110098002AMA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vibrant Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vibrant Dermatology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1104086107
143 LONGWATER DR
Norwell, MA 02061
(781) 878-5200
✔ PECOS16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vibrant Dermatology PLLC's NPI number?

The NPI number for Vibrant Dermatology PLLC is 1023515277. It was assigned to this organization in the NPPES registry on April 12, 2018.

Where is Vibrant Dermatology PLLC located?

Vibrant Dermatology PLLC is located at 588 Providence Hwy, Dedham, MA 02026. The listed phone number is (781) 708-9299.

What is Vibrant Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Vibrant Dermatology PLLC enrolled in Medicare?

Yes. Vibrant Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vibrant Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Vibrant Dermatology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vibrant Dermatology PLLC was last updated on February 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.