SOUTH SHORE MEDICAL CENTER, INC
NPI 1033778824
Dermatology in Norwell, MA

NPI Status: Active since June 06, 2019

Contact Information

143 LONGWATER DR
NORWELL, MA
ZIP 02061
Phone: (781) 878-5200

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  • Organization
  • Dermatology

About SOUTH SHORE MEDICAL CENTER, INC

This page provides the complete NPI Profile along with additional information for South Shore Medical Center, Inc, a provider established in Norwell, Massachusetts operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1033778824 assigned on June 2019. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. South Shore Medical Center, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jaclyn Valanzola (Credentialing Supervisor)

NPI
1033778824
Provider Name
SOUTH SHORE MEDICAL CENTER, INC
Entity Type
Organization
Location Address
143 LONGWATER DR NORWELL, MA 02061
Location Phone
(781) 878-5200
Mailing Address
141 LONGWATER DR NORWELL, MA 02061
Mailing Phone
(781) 792-4136
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2019
Last Update Date
01-23-2024
Code Navigator

A dermatologist like South Shore Medical Center, Inc 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.

Location Map

Secondary Locations

  • 340 Wood Rd
    Braintree, MA 02184
    (781) 878-5200
  • 1495 Hancock St
    Quincy, MA 02169
    (781) 878-5200
  • 780 Main St Ste 2C
    Weymouth, MA 02190
    (781) 341-4600
  • 51 Performance Dr
    Weymouth, MA 02189
    (781) 682-8000
  • 5 Tarkiln Rd
    Kingston, MA 02364
    (781) 585-2200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207KA0200XAllopathic & Osteopathic Physicians

Allergy & Immunology
Allergy

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
4207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
5207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
6208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
7208800000XAllopathic & Osteopathic Physicians

Urology

 
8208D00000XAllopathic & Osteopathic Physicians

General Practice

 
9213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACLYN VALANZOLA

Authorized Official Title
CREDENTIALING SUPERVISOR
Authorized Official Phone
(781) 681-0384

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1669411856MEDICAID (05)MA 

Reviews for SOUTH SHORE MEDICAL CENTER, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033778824
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631471684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 7 + 1 + 6 + 8 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1033778824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. AMARA LEE MULDER M.D.

Internal Medicine

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

SCOTT P. CORKINS MD

Family Medicine

143 LONGWATER DR
SOUTH SHORE MEDCAL CENTER, INC
NORWELL, MA
ZIP 02061

(781) 878-5200

CHRISTOPHER R COX DO

Pediatrics

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

JAMES R COX MD

Pediatrics

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DR. EDWARD W NALBAND MD

Internal Medicine

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DR. SARA J NUCIFORO MD

Internal Medicine

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DR. TERI LOU MINER DO

Family Medicine

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DR. MICHELE K MUDGETT MD

Internal Medicine

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DR. ROBERT C KASABIAN MD

Internal Medicine

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DAVID A HALLE M.D.

Internal Medicine

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DR. MATTHEW R HJORT MD

Pediatrics

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DR. KAREN CHOONG

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DR. SUSAN CLINTON MARTIN M.D.

Pediatrics

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

JOYCE IMAHIYEROBO

Dermatology

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

DR. SUSAN SWORDS M.D.

Internal Medicine

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

MISS EMILY ANNA DIONNE MS, RD, LDN

Dietitian, Registered

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

GUERLINE GABRIELLE MENARD PA-C

Physician Assistant

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

ERIN M ANDERSON PA

Physician Assistant

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

KRISTINE A RUZYCKI APRN BC

Nurse Practitioner

(Adult Health)

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

CHRISTINE ROSE SABA ANP

Nurse Practitioner

(Adult Health)

143 LONGWATER DR
NORWELL, MA
ZIP 02061

(781) 878-5200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033778824, enumerated as an "organization" on June 06, 2019.

The provider is located at 143 LONGWATER DR NORWELL, MA 02061 and the phone number is (781) 878-5200.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.