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INTEGRATIVE DERMATOLOGY PC
NPI 1154522860
Dermatology in Newton, MA

Active since May 30, 2007CLIA 22D1014691 · Microscopy
1172 BEACON ST, SUITE 402, NEWTON, MA 02461(617) 558-5580 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrative Dermatology Pc NPPES

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

INTEGRATIVE DERMATOLOGY PC (NPI 1154522860) is a healthcare organization registered as a dermatology in Newton, Massachusetts and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through July 14, 2027 and lists Valori Treloar, Owner, as its authorized official.

NPPES Registry Identity

NPI1154522860
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATIVE DERMATOLOGY PC
Location Address1172 BEACON ST, SUITE 402Newton, MA 02461-1146
Mailing Address1172 Beacon St, Suite 402Newton, MA 02461-1146 · (617) 558-5580
Phone(617) 558-5580
Organization SubpartNo
Authorized OfficialValori TreloarOwner · (617) 558-5580
Enumeration DateMay 30, 2007
Last NPPES UpdateOctober 23, 2015
✔ NPI 1154522860 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.
1172 BEACON ST, Newton, MA 02461
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Other Identifiers 1

Medicare PINM21345

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

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 for Provider-Performed Microscopy Procedures (PPMP) 22D1014691

Integrative Dermatology, PC · Newton, MA
Active · expires Jul 14, 2027
CLIA Number22D1014691
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorValori Treloar
Laboratory Phone(617) 558-5580
Laboratory LocationIntegrative Dermatology, PC1172 Beacon St, Suite 402, Newton, MA 02461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

CHRISTOPHER JOSEPH TECCE PHD
Psychologist
1172 BEACON ST, STE 101
NEWTON, MA 02461
Middlesex County (617) 332-1881
JYH-SHYAN YOU
Dentist (General Practice)
1172 BEACON ST, # 104
NEWTON, MA 02461
Middlesex County (617) 969-5567
VALORI D TRELOAR M.D.
Dermatology
1172 BEACON ST, SUITE 402
NEWTON, MA 02461
Middlesex County (617) 558-5580

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 Integrative Dermatology PC's NPI number?

The NPI number for Integrative Dermatology PC is 1154522860. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Integrative Dermatology PC located?

Integrative Dermatology PC is located at 1172 Beacon St Suite 402, Newton, MA 02461. The listed phone number is (617) 558-5580.

What is Integrative Dermatology PC's specialty?

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

Does Integrative Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D1014691) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrative Dermatology PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Integrative Dermatology PC 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 Integrative Dermatology PC was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.