NORTHEAST DERMATOLOGY ASSOCIATES
NPI 1245510049
Dermatology in Newburyport, MA

NPI Status: Active since August 24, 2011

Contact Information

1 WALLACE BASHAW WAY
SUITE 1002
NEWBURYPORT, MA
ZIP 01950
Phone: (978) 691-5690
Fax: (978) 691-5693

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  • Organization
  • Dermatology
  • CLIA Number: 22D2307023
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-27-2026

About NORTHEAST DERMATOLOGY ASSOCIATES

This page provides the complete NPI Profile along with additional information for Northeast Dermatology Associates, a provider established in Newburyport, Massachusetts operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1245510049 assigned on August 2011. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jeremy P Finkle M.d. (President, Northeast Dermatology As)

NPI
1245510049
Provider Name
NORTHEAST DERMATOLOGY ASSOCIATES
Entity Type
Organization
Location Address
1 WALLACE BASHAW WAY SUITE 1002 NEWBURYPORT, MA 01950
Location Phone
(978) 691-5690
Location Fax
(978) 691-5693
Mailing Address
401 ANDOVER ST SUITE 101 NORTH ANDOVER, MA 01845
Mailing Phone
(978) 691-5690
Mailing Fax
(978) 691-5693
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-24-2011
Last Update Date
08-24-2011
Code Navigator

A dermatologist like Northeast Dermatology Associates 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

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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

DR. JEREMY P FINKLE M.D.

Authorized Official Title
PRESIDENT, NORTHEAST DERMATOLOGY AS
Authorized Official Phone
(978) 691-5690

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
M15432OTHER (01)MAMEDICARE PTAN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2307023
Facility Type
Hospital
Certificate Effective Date
June 28, 2024
Certificate Expiration Date
June 27, 2026
Laboratory Director
LESLIE DOWD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northeast Dermatology Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245510049, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 0 + 1 + 0 + 0 + 8 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1245510049.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Urology
1 WALLACE BASHAW WAY, SUITE 3003
NEWBURYPORT, MA 01950
Internal Medicine
1 WALLACE BASHAW WAY, SUITE 2002
NEWBURYPORT, MA 01950
Nurse Practitioner (Adult Health)
1 WALLACE BASHAW WAY, STE 2002
NEWBURYPORT, MA 01950
Internal Medicine
1 WALLACE BASHAW WAY, SUITE 2003
NEWBURYPORT, MA 01950
Audiologist
1 WALLACE BASHAW WAY, SUITE 3002
NEWBURYPORT, MA 01950
Clinic/Center (Oncology, Radiation)
1 WALLACE BASHAW WAY
NEWBURYPORT, MA 01950
Internal Medicine (Hematology & Oncology)
1 WALLACE BASHAW WAY
NEWBURYPORT, MA 01950
Internal Medicine (Hematology & Oncology)
1 WALLACE BASHAW WAY, SUITE 2001
NEWBURYPORT, MA 01950
Nurse Practitioner (Family)
1 WALLACE BASHAW WAY, SUITE 2001
NEWBURYPORT, MA 01950
Audiologist
1 WALLACE BASHAW WAY, SUITE 3002
NEWBURYPORT, MA 01950
Physician Assistant
1 WALLACE BASHAW WAY
NEWBURYPORT, MA 01950
Otolaryngology
1 WALLACE BASHAW WAY, SUITE 3002
NEWBURYPORT, MA 01950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245510049, enumerated as an "organization" on August 24, 2011.

The provider is located at 1 WALLACE BASHAW WAY SUITE 1002 NEWBURYPORT, MA 01950 and the phone number is (978) 691-5690.

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.