ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC
NPI 1710387386
Dermatology in Quincy, MA
About Associates Of South Shore Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC (NPI 1710387386) is a healthcare organization registered as a dermatology in Quincy, Massachusetts and active in the NPI registry since September 2014. The organization lists Stephen G Werth, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Associates Of South Shore Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Associates Of South Shore Dermatology LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Associates Of South Shore Dermatology LLC's NPI number?
The NPI number for Associates Of South Shore Dermatology LLC is 1710387386. It was assigned to this organization in the NPPES registry on September 2, 2014.
Where is Associates Of South Shore Dermatology LLC located?
Associates Of South Shore Dermatology LLC is located at 300 Congress St Ste 408, Quincy, MA 02169. The listed phone number is (617) 773-7431.
What is Associates Of South Shore Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Associates Of South Shore Dermatology LLC enrolled in Medicare?
Yes. Associates Of South Shore Dermatology LLC is registered in the Medicare PECOS enrollment system.
When is Associates Of South Shore Dermatology LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Associates Of South Shore Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Associates Of South Shore Dermatology 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.
What insurance does Associates Of South Shore Dermatology LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Associates Of South Shore Dermatology 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 Associates Of South Shore Dermatology LLC was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Associates Of South Shore Dermatology Llc · NPI 1710387386
Dermatology organization in Quincy, Massachusetts. Organization record, active in the CMS NPPES registry since September 2, 2014.
## Identity
- **NPI:** 1710387386 (Entity type: Organization)
- **Enumerated:** September 2, 2014
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Stephen Werth, OWNER
## Practice location
- **Address:** 300 CONGRESS ST, STE 408, Quincy, MA 02169-0907
- **Phone:** (617) 773-7431 · **Fax:** (617) 773-9592
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Massachusetts, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1710387386) · Data from the CMS NPPES public registry.