NORTHEAST DERMATOLOGY ASSOCIATES
NPI 1669844163
Dermatology in North Andover, MA

NPI Status: Active since October 22, 2015

Contact Information

538 TURNPIKE ST
NORTH ANDOVER, MA
ZIP 01845
Phone: (978) 691-5690
Fax: (978) 691-5693

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  • Organization
  • Dermatology
  • Accepts Insurance
  • CLIA Number: 22D1097698
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 03-31-2027

About NORTHEAST DERMATOLOGY ASSOCIATES

This page provides the complete NPI Profile along with additional information for Northeast Dermatology Associates, a provider established in North Andover, Massachusetts operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1669844163 assigned on October 2015. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Northeast Dermatology Associates. The authorized official of this NPI record is Kathleen Mathison-reynolds (Credentialing Manager)

NPI
1669844163
Provider Legal Name
NEDAN LLC
Other Organization Name
NORTHEAST DERMATOLOGY ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
538 TURNPIKE ST NORTH ANDOVER, MA 01845
Location Phone
(978) 691-5690
Location Fax
(978) 691-5693
Mailing Address
280 MERRIMACK ST STE 311 LAWRENCE, MA 01843
Mailing Phone
(978) 691-5690
Mailing Fax
(978) 691-5693
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2015
Last Update Date
10-23-2024
Code Navigator

A dermatologist like Northeast Dermatology Associates is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Secondary Locations

  • 1 Blackburn Dr
    Gloucester, MA 01930
    (978) 691-5690
  • 138 Conant St
    Beverly, MA 01915
    (978) 691-5690
  • 62 Brown St Ste 304C
    Haverhill, MA 01830
    (978) 691-5690
  • 198 Massachusetts Ave Ste 105
    North Andover, MA 01845
    (978) 691-5690
  • 1 Wallace Bashaw Way Ste 1002
    Newburyport, MA 01950
    (978) 691-5690

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHLEEN MATHISON-REYNOLDS

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(937) 241-5930

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D1097698
Facility Type
Other
Certificate Effective Date
April 01, 2025
Certificate Expiration Date
March 31, 2027
Laboratory Director
TIMOTHY P. YOUNG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northeast Dermatology Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NORTHEAST DERMATOLOGY ASSOCIATES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669844163, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 6 + 4 + 8 + 1 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1669844163.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physician Assistant
538 TURNPIKE ST
NORTH ANDOVER, MA 01845
Dermatology
538 TURNPIKE ST
NORTH ANDOVER, MA 01845
Dermatology (MOHS-Micrographic Surgery)
538 TURNPIKE ST
NORTH ANDOVER, MA 01845
Dermatology
538 TURNPIKE ST
NORTH ANDOVER, MA 01845
Specialist
538 TURNPIKE ST
NORTH ANDOVER, MA 01845
Dermatology
538 TURNPIKE ST
NORTH ANDOVER, MA 01845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669844163, enumerated as an "organization" on October 22, 2015.

The provider is located at 538 TURNPIKE ST NORTH ANDOVER, MA 01845 and the phone number is (978) 691-5690.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.