GREATER BOSTON DERMATOLOGY PC
NPI 1871354803
Dermatology in Framingham, MA

Active since January 17, 2024CLIA 22D2303675 · Certificate of Compliance
85 LINCOLN ST, FRAMINGHAM, MA 01702(617) 540-5570(617) 540-5571 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2025, Jun 10, 2024 (2 updates tracked since 2024).

About Greater Boston Dermatology Pc NPPES

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

GREATER BOSTON DERMATOLOGY PC (NPI 1871354803) is a healthcare organization registered as a dermatology in Framingham, Massachusetts and active in the NPI registry since January 2024. The organization holds a CLIA Certificate of Compliance certificate valid through January 15, 2028 and lists Rebecca Khezri Jacobson, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1871354803
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGREATER BOSTON DERMATOLOGY PC
Location Address85 LINCOLN STFramingham, MA 01702-8200
Mailing AddressPo Box 600736Newtonville, MA 02460-0007 · (617) 540-5571 · Fax (617) 540-5571
Fax(617) 540-5571
Organization SubpartNo
Authorized OfficialRebecca Khezri JacobsonPhysician Owner · (508) 719-8947
Enumeration DateJanuary 17, 2024
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1871354803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
85 LINCOLN ST, Framingham, MA 01702

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater Boston Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Greater Boston Dermatology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1336588136
85 LINCOLN ST STE 510
Framingham, MA 01702
(617) 540-5570
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 22D2303675

Greater Boston Dermatology, PC · Framingham, MA
Active · expires Jan 15, 2028
CLIA Number22D2303675
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorDr. Rebecca Khezri Jacobson
Laboratory Phone(617) 540-5570
Laboratory LocationGreater Boston Dermatology, PC85 Lincoln Street, Floor 5, Framingham, MA 01702
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.

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 Greater Boston Dermatology PC's NPI number?

The NPI number for Greater Boston Dermatology PC is 1871354803. It was assigned to this organization in the NPPES registry on January 17, 2024.

Where is Greater Boston Dermatology PC located?

Greater Boston Dermatology PC is located at 85 Lincoln St, Framingham, MA 01702. The listed phone number is (617) 540-5570.

What is Greater Boston Dermatology PC's specialty?

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

Is Greater Boston Dermatology PC enrolled in Medicare?

Yes. Greater Boston Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Boston Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Greater Boston Dermatology PC. 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.

Does Greater Boston Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D2303675) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greater Boston Dermatology PC accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Greater Boston Dermatology PC 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 Greater Boston Dermatology PC was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.