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BROOKLINE DERMATOLOGY ASSOCIATES, PC
NPI 1811399025
Dermatology - MOHS-Micrographic Surgery in Brookline, MA

Active since September 18, 2014CLIA 22D2080801 · Certificate of Compliance
235 CYPRESS ST, SUITE 200, BROOKLINE, MA 02445(617) 277-0800(617) 277-0899 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookline Dermatology Associates, Pc NPPES

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

BROOKLINE DERMATOLOGY ASSOCIATES, PC (NPI 1811399025) is a healthcare organization registered as a mohs-micrographic surgery in Brookline, Massachusetts and active in the NPI registry since September 2014. The organization holds a CLIA Certificate of Compliance certificate valid through March 10, 2027 and lists Maryjane Mushow, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1811399025
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBROOKLINE DERMATOLOGY ASSOCIATES, PC
Location Address235 CYPRESS ST, SUITE 200Brookline, MA 02445-6776
Mailing Address1208b Vfw Pkwy, Sutie 200West Roxbury, MA 02132-4349 · (617) 608-1575 · Fax (617) 605-1576
Phone(617) 277-0800
Fax(617) 277-0899
Organization SubpartNo
Authorized OfficialMaryjane MushowChief Operating Officer · (617) 608-1575
Enumeration DateSeptember 18, 2014
✔ NPI 1811399025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in MA · 57991
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
235 CYPRESS ST, Brookline, MA 02445
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Other Identifiers 1

Medicare PINA21780MA

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

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 Compliance 22D2080801

Brookline Dermatology Associates PC · West Roxbury, MA
Active · expires Mar 10, 2027
CLIA Number22D2080801
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorSteven P. Smith
Laboratory Phone(617) 608-1575
Laboratory LocationBrookline Dermatology Associates PC1208B Vfw Parkway Ste 200, West Roxbury, MA 02132
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

MS. KENDRA READ P.A.
Physician Assistant (Surgical)
235 CYPRESS ST
BROOKLINE, MA 02445
Norfolk County (617) 383-6255
PETER STONE PT
Physical Therapist
235 CYPRESS ST, STE 100
BROOKLINE, MA 02445
Norfolk County (781) 383-8767
DR. DONALD JAY MORRIS M.D.
Plastic Surgery
235 CYPRESS ST, SUITE 210
BROOKLINE, MA 02445
Norfolk County (617) 383-6250
ELI LAUZE-YESAYIAN
Counselor (Mental Health)
235 CYPRESS ST
BROOKLINE, MA 02445
Norfolk County (617) 418-6163
BLAKELY ANN PLASTER PA-C
Physician Assistant
235 CYPRESS ST
BROOKLINE, MA 02445
Norfolk County (617) 383-6250
DONALD T REILLY M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
235 CYPRESS ST
BROOKLINE, MA 02445
Norfolk County (617) 738-8642
LONGWOOD PLASTIC SURGERY, P.C.
Plastic Surgery
235 CYPRESS ST, SUITE 210
BROOKLINE, MA 02445
Norfolk County (617) 383-6250
BOSTON ARTHRITIS & SPINAL SURGERY, P.C.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
235 CYPRESS ST, SUITE 200
BROOKLINE, MA 02445
Norfolk County (617) 730-9814

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 Brookline Dermatology Associates, PC's NPI number?

The NPI number for Brookline Dermatology Associates, PC is 1811399025. It was assigned to this organization in the NPPES registry on September 18, 2014.

Where is Brookline Dermatology Associates, PC located?

Brookline Dermatology Associates, PC is located at 235 Cypress St Suite 200, Brookline, MA 02445. The listed phone number is (617) 277-0800.

What is Brookline Dermatology Associates, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Brookline Dermatology Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D2080801) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brookline Dermatology Associates, PC was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.