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DERMATOLOGY AND SKIN HEALTH LLC
NPI 1184341562
Dermatology in Peabody, MA

Active since October 26, 2022CLIA 22D2167474 · Certificate of Compliance
23 CENTENNIAL DR, PEABODY, MA 01960(978) 525-0100 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology And Skin Health Llc NPPES

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

DERMATOLOGY AND SKIN HEALTH LLC (NPI 1184341562) is a healthcare organization registered as a dermatology in Peabody, Massachusetts and active in the NPI registry since October 2022. The organization holds a CLIA Certificate of Compliance certificate valid through July 22, 2027 and lists Gary Mendese, Member, as its authorized official.

NPPES Registry Identity

NPI1184341562
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY AND SKIN HEALTH LLC
Location Address23 CENTENNIAL DRPeabody, MA 01960-7901
Mailing Address784 Central AveDover, NH 03820-2549 · (603) 742-5556
Phone(978) 525-0100
Organization SubpartNo
Authorized OfficialGary MendeseMember · (603) 742-5556
Enumeration DateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
✔ NPI 1184341562 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.
23 CENTENNIAL DR, Peabody, MA 01960
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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 22D2167474

Dermatology And Skin Health - Peabody · Peabody, MA
Active · expires Jul 22, 2027
CLIA Number22D2167474
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorGary W. Mendese
Laboratory Phone(603) 742-5556
Laboratory LocationDermatology And Skin Health - Peabody23 Centennial Drive, Peabody, MA 01960
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 2

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

GARY MENDESE, MD, LLC
Dermatology (Procedural Dermatology)
23 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 531-7677
MEND MY SKIN LLC
Dermatology (MOHS-Micrographic Surgery)
23 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 525-0100

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 Dermatology And Skin Health LLC's NPI number?

The NPI number for Dermatology And Skin Health LLC is 1184341562. It was assigned to this organization in the NPPES registry on October 26, 2022.

Where is Dermatology And Skin Health LLC located?

Dermatology And Skin Health LLC is located at 23 Centennial Dr, Peabody, MA 01960. The listed phone number is (978) 525-0100.

What is Dermatology And Skin Health LLC's specialty?

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

Does Dermatology And Skin Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D2167474) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology And Skin Health LLC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.