INTEGRATED DERMATOLOGY OF MASHTON, LLC
NPI 1164069647
Dermatology in Mashpee, MA

Active since December 04, 2019CLIA 22D2194997 · Certificate of Compliance
800 FALMOUTH RD STE 101, MASHPEE, MA 02649(508) 477-0391 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Dermatology Of Mashton, Llc NPPES

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

INTEGRATED DERMATOLOGY OF MASHTON, LLC (NPI 1164069647) is a healthcare organization registered as a dermatology in Mashpee, Massachusetts and active in the NPI registry since December 2019. The organization holds a CLIA Certificate of Compliance certificate valid through September 12, 2026 and lists Adam S Plotkin, Authorized Group Official, as its authorized official.

NPPES Registry Identity

NPI1164069647
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF MASHTON, LLC
Location Address800 FALMOUTH RD STE 101Mashpee, MA 02649-3303
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Organization SubpartNo
Authorized OfficialAdam S PlotkinAuthorized Group Official · (561) 314-2000
Enumeration DateDecember 4, 2019
NPI 1164069647 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.
800 FALMOUTH RD STE 101, Mashpee, MA 02649

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

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 22D2194997

Integrated Dermatology · Mashpee, MA
Active · expires Sep 12, 2026
CLIA Number22D2194997
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorMark Amster
Laboratory Phone(508) 477-0391
Laboratory LocationIntegrated Dermatology800 Falmouth Rd Suite 101B, Mashpee, MA 02649
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.

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 Mashton, LLC's NPI number?

The NPI number for Integrated Dermatology Of Mashton, LLC is 1164069647. It was assigned to this organization in the NPPES registry on December 4, 2019.

Where is Integrated Dermatology Of Mashton, LLC located?

Integrated Dermatology Of Mashton, LLC is located at 800 Falmouth Rd Ste 101, Mashpee, MA 02649. The listed phone number is (508) 477-0391.

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

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

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

Yes. A Certificate of Compliance (number 22D2194997) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Dermatology Of Mashton, LLC was last updated on December 4, 2019. 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.