INTEGRATED DERMATOLOGY OF WORCESTER II LLC
NPI 1659046340
Dermatology in Worcester, MA

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

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

Active since August 13, 2021CLIA 22D2323613 · Waiver

255 PARK AVE STE 509, WORCESTER, MA 01609(508) 890-5500(508) 890-5505 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2025, Aug 13, 2021 (2 updates tracked since 2021).

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About Integrated Dermatology Of Worcester Ii Llc NPPES

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

INTEGRATED DERMATOLOGY OF WORCESTER II LLC (NPI 1659046340) is a healthcare organization registered as a dermatology in Worcester, Massachusetts and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Robert Benson, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1659046340

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameINTEGRATED DERMATOLOGY OF WORCESTER II LLC

Location Address255 PARK AVE STE 509Worcester, MA 01609-1989

Mailing Address255 Park Ave Ste 509Worcester, MA 01609-1989 · (508) 890-5500 · Fax (508) 890-5505

Phone(508) 890-5500

Fax(508) 890-5505

Organization SubpartNo

Authorized OfficialRobert BensonAuthorized Official · (561) 223-8081

Enumeration DateAugust 13, 2021

Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1659046340 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.

255 PARK AVE STE 509, Worcester, MA 01609

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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 Anthem Blue Cross and Blue Shield.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 22D2323613

Integrated Dermatology Of Worcester · Worcester, MA

Active · expires May 8, 2027

CLIA Number22D2323613

Laboratory TypePhysician Office

Certificate Effective DateMay 9, 2025

Certificate Expiration DateMay 8, 2027

Laboratory DirectorNeil Houston

Laboratory Phone(508) 356-7084

Laboratory LocationIntegrated Dermatology Of Worcester255 Park Ave Suite 509, Worcester, MA 01609

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. STANLEY A SHUSTAK JR. DDS

Dentist (General Practice)