ON SITE DERMATOLOGY OF MASSACHUSETTS, LLC
NPI 1801217864
Dermatology in Harvard, MA
About On Site Dermatology Of Massachusetts, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ON SITE DERMATOLOGY OF MASSACHUSETTS, LLC (NPI 1801217864) is a healthcare organization registered as a dermatology in Harvard, Massachusetts and active in the NPI registry since December 2013. The organization lists Jeffrey D. Queen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
On Site Dermatology Of Massachusetts, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to On Site Dermatology Of Massachusetts, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
Worcester, MA 01608
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 On Site Dermatology Of Massachusetts, LLC's NPI number?
The NPI number for On Site Dermatology Of Massachusetts, LLC is 1801217864. It was assigned to this organization in the NPPES registry on December 18, 2013.
Where is On Site Dermatology Of Massachusetts, LLC located?
On Site Dermatology Of Massachusetts, LLC is located at 39 E Bare Hill Rd, Harvard, MA 01451. The listed phone number is (877) 345-5300.
What is On Site Dermatology Of Massachusetts, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is On Site Dermatology Of Massachusetts, LLC enrolled in Medicare?
Yes. On Site Dermatology Of Massachusetts, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through On Site Dermatology Of Massachusetts, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to On Site Dermatology Of Massachusetts, LLC, in Dermatology and Nurse Practitioner. 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.
When was this NPI record last updated?
The NPPES record for On Site Dermatology Of Massachusetts, LLC was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.