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PARK DERMATOLOGY ASSOC PC
NPI 1598785016
Dermatology - Clinical & Laboratory Dermatological Immunology in Brockton, MA

Active since July 20, 2006
ONE PEARL ST, STE 2300, BROCKTON, MA 02301(508) 894-5100(508) 894-5111 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Dermatology Assoc Pc NPPES

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

PARK DERMATOLOGY ASSOC PC (NPI 1598785016) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Brockton, Massachusetts and active in the NPI registry since July 2006. The organization lists Jay M Ritt, Physician, as its authorized official.

NPPES Registry Identity

NPI1598785016
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NamePARK DERMATOLOGY ASSOC PC
Location AddressONE PEARL ST, STE 2300Brockton, MA 02301
Mailing AddressOne Pearl St, Ste 2300Brockton, MA 02301 · (508) 894-5100 · Fax (508) 894-5111
Phone(508) 894-5100
Fax(508) 894-5111
Organization SubpartNo
Authorized OfficialJay M RittPhysician · (508) 894-5100
Enumeration DateJuly 20, 2006
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1598785016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
ONE PEARL ST, Brockton, MA 02301
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Other Identifiers 2

Medicaid9717404MA
Medicare PINM14435MA

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

Other Providers at the Same Location NPPES

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

MRS. TRACY F ST. HILAIRE MSPT
Physical Therapist
ONE PEARL ST, NATFI INC STE 1700
BROCKTON, MA 02301
Plymouth County (508) 580-1690

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 Park Dermatology Assoc PC's NPI number?

The NPI number for Park Dermatology Assoc PC is 1598785016. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Park Dermatology Assoc PC located?

Park Dermatology Assoc PC is located at One Pearl St Ste 2300, Brockton, MA 02301. The listed phone number is (508) 894-5100.

What is Park Dermatology Assoc PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

When was this NPI record last updated?

The NPPES record for Park Dermatology Assoc PC was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.