INTEGRATED DERMATOLOGY OF CHESTERFIELD LLC
NPI 1265703235
Dermatology in Chesterfield, NH

Active since January 23, 2012CLIA 47D0964781 · Waiver
745A ROUTE 63, CHESTERFIELD, NH 03443(603) 363-4469(603) 363-4450 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jan 15, 2019, Jun 20, 2018 (3 updates tracked since 2018).

About Integrated Dermatology Of Chesterfield Llc NPPES

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

INTEGRATED DERMATOLOGY OF CHESTERFIELD LLC (NPI 1265703235) is a healthcare organization registered as a dermatology in Chesterfield, New Hampshire and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Jeffrey Queen, Owner, as its authorized official.

NPPES Registry Identity

NPI1265703235
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF CHESTERFIELD LLC
Location Address745A ROUTE 63Chesterfield, NH 03443-3604
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Fax(603) 363-4450
Organization SubpartNo
Authorized OfficialJeffrey QueenOwner · (561) 314-2000
Enumeration DateJanuary 23, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1265703235 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.

745A ROUTE 63, Chesterfield, NH 03443

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

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 Waiver 47D0964781

Integrated Dermatology Of Chesterfield LLC · Chesterfield, NH
Active · expires Feb 9, 2028
CLIA Number47D0964781
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorJorge L. Crespo
Laboratory Phone(603) 363-4469
Laboratory LocationIntegrated Dermatology Of Chesterfield LLC745A Route 63, Chesterfield, NH 03443
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

Dermatology
745A ROUTE 63
CHESTERFIELD, NH 03443
Dermatology
745A ROUTE 63
CHESTERFIELD, NH 03443
Physician Assistant
745A ROUTE 63
CHESTERFIELD, NH 03443

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 Chesterfield LLC's NPI number?

The NPI number for Integrated Dermatology Of Chesterfield LLC is 1265703235. It was assigned to this organization in the NPPES registry on January 23, 2012.

Where is Integrated Dermatology Of Chesterfield LLC located?

Integrated Dermatology Of Chesterfield LLC is located at 745A Route 63, Chesterfield, NH 03443. The listed phone number is (603) 363-4469.

What is Integrated Dermatology Of Chesterfield LLC's specialty?

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

Does Integrated Dermatology Of Chesterfield LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D0964781) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrated Dermatology Of Chesterfield LLC accept?

Health plans from WellSense Health Plan list Integrated Dermatology Of Chesterfield 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 Chesterfield LLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.