SOUTH SHORE SKIN CENTER
NPI 1366805335
Dermatology in Norwell, MA

Active since March 29, 2016CLIA Certified · 2 labs
75 WASHINGTON ST, NORWELL, MA 02061(781) 878-6495(781) 878-6524 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Shore Skin Center NPPES

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

SOUTH SHORE SKIN CENTER (NPI 1366805335) is a healthcare organization registered as a dermatology in Norwell, Massachusetts and active in the NPI registry since March 2016. The organization holds 2 active CLIA laboratory certificates and lists Richard F Eisen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366805335
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTH SHORE SKIN CENTER
Location Address75 WASHINGTON STNorwell, MA 02061-1795
Mailing Address1 Scobee Cir, Unit 3Plymouth, MA 02360-4887 · (508) 747-0711 · Fax (508) 747-0011
Fax(781) 878-6524
Organization SubpartYesParent: South Shore Skin Center, Llc
Authorized OfficialRichard F EisenAuthorized Official · (508) 747-0711
Enumeration DateMarch 29, 2016
NPI 1366805335 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.
75 WASHINGTON ST, Norwell, MA 02061

Other Names 1

Doing Business AsSouth Shore Skin Center

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 2

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 22D2091941

South Shore Skin Center · Norwell, MA
Active · expires Jul 8, 2027
CLIA Number22D2091941
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorNavid Bouzari
Laboratory Phone(508) 747-0711
Laboratory LocationSouth Shore Skin Center75 Washington St, Norwell, MA 02061
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.

Certificate of Compliance 22D0080097

South Shore Skin Center · Plymouth, MA
Active · expires Dec 13, 2027
CLIA Number22D0080097
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorNavid Bouzari
Laboratory Phone(508) 747-0711
Laboratory LocationSouth Shore Skin CenterOne Scobee Circle, Plymouth, MA 02360
CLIA data matches this NPI record on: 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 18

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

Surgery
75 WASHINGTON ST
NORWELL, MA 02061
Nurse Practitioner (Adult Health)
75 WASHINGTON ST
NORWELL, MA 02061
Obstetrics & Gynecology
75 WASHINGTON ST
NORWELL, MA 02061
Pediatrics
75 WASHINGTON ST
NORWELL, MA 02061
Nurse Practitioner
75 WASHINGTON ST
NORWELL, MA 02061
Nurse Practitioner
75 WASHINGTON ST
NORWELL, MA 02061
Physician Assistant
75 WASHINGTON ST
NORWELL, MA 02061
Psychologist
75 WASHINGTON ST
NORWELL, MA 02061

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 South Shore Skin Center's NPI number?

The NPI number for South Shore Skin Center is 1366805335. It was assigned to this organization in the NPPES registry on March 29, 2016.

Where is South Shore Skin Center located?

South Shore Skin Center is located at 75 Washington St, Norwell, MA 02061. The listed phone number is (781) 878-6495.

What is South Shore Skin Center's specialty?

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

Does South Shore Skin Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for South Shore Skin Center was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.