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INTEGRATED DERMATOLOGY OF BROOKLINE, LLC
NPI 1104389154
Dermatology in Brookline, MA

Active since April 08, 2019CLIA 22D2173228 · Certificate of Compliance
1101 BEACON ST STE 1E, BROOKLINE, MA 02446(617) 731-2390 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Dermatology Of Brookline, Llc NPPES

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

INTEGRATED DERMATOLOGY OF BROOKLINE, LLC (NPI 1104389154) is a healthcare organization registered as a dermatology in Brookline, Massachusetts and active in the NPI registry since April 2019. The organization holds a CLIA Certificate of Compliance certificate valid through April 13, 2027 and lists Adam S Plotkin, Authorized Group Official, as its authorized official.

NPPES Registry Identity

NPI1104389154
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF BROOKLINE, LLC
Location Address1101 BEACON ST STE 1EBrookline, MA 02446-5587
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Phone(617) 731-2390
Organization SubpartNo
Authorized OfficialAdam S PlotkinAuthorized Group Official · (561) 314-2000
Enumeration DateApril 8, 2019
✔ NPI 1104389154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1101 BEACON ST STE 1E, Brookline, MA 02446
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 22D2173228

Integrated Dermatology Of Brookline · Brookline, MA
Active · expires Apr 13, 2027
CLIA Number22D2173228
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorDr. Miaoyuan M. Wang
Laboratory Phone(617) 731-2390
Laboratory LocationIntegrated Dermatology Of Brookline1101 Beacon St, Suite 1E, Brookline, MA 02446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIAOYUAN MAY WANG M.D.
Dermatology
1101 BEACON ST STE 1E
BROOKLINE, MA 02446
Norfolk County (617) 731-2390

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 Integrated Dermatology Of Brookline, LLC's NPI number?

The NPI number for Integrated Dermatology Of Brookline, LLC is 1104389154. It was assigned to this organization in the NPPES registry on April 8, 2019.

Where is Integrated Dermatology Of Brookline, LLC located?

Integrated Dermatology Of Brookline, LLC is located at 1101 Beacon St Ste 1E, Brookline, MA 02446. The listed phone number is (617) 731-2390.

What is Integrated Dermatology Of Brookline, LLC's specialty?

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

Does Integrated Dermatology Of Brookline, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D2173228) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrated Dermatology Of Brookline, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Integrated Dermatology Of Brookline, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrated Dermatology Of Brookline, LLC was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.