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

Q: What is Integrated Dermatology Of Chesterfield LLC's specialty?

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

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: October 18, 2026.

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

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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

Phone(603) 363-4469

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Dermatology Of Chesterfield Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrated Dermatology Of Chesterfield LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jorge Crespo, MD

Dermatology

NPI 1881633568

745A ROUTE 63
Chesterfield, NH 03443

(800) 303-8984

✔ PECOS✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Integrated Dermatology Of Chesterfield LLC enrolled in Medicare?

Yes. Integrated Dermatology Of Chesterfield LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Dermatology Of Chesterfield LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Integrated Dermatology Of Chesterfield LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ambetter from NH Healthy Families and 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.