CRANBERRY SQUARE DERMATOLOGY PC
NPI 1982829495
Specialist in South Dennis, MA

Q: What is Cranberry Square Dermatology PC's NPI number?

The NPI number for Cranberry Square Dermatology PC is 1982829495. It was assigned to this organization in the NPPES registry on April 17, 2007.

Q: What is Cranberry Square Dermatology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 17, 2007

434 ROUTE 134, SUITE 1A, SOUTH DENNIS, MA 02660(508) 394-5556(508) 394-2735 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Cranberry Square Dermatology Pc NPPES

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

CRANBERRY SQUARE DERMATOLOGY PC (NPI 1982829495) is a healthcare organization registered as a specialist in South Dennis, Massachusetts and active in the NPI registry since April 2007. The organization lists Amy Beth Koff, Owner, as its authorized official.

NPPES Registry Identity

NPI1982829495

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCRANBERRY SQUARE DERMATOLOGY PC

Location Address434 ROUTE 134, SUITE 1ASouth Dennis, MA 02660-3433

Mailing Address434 Route 134, Suite 1aSouth Dennis, MA 02660-3433 · (508) 394-5556 · Fax (508) 394-2735

Phone(508) 394-5556

Fax(508) 394-2735

Organization SubpartNo

Authorized OfficialAmy Beth KoffOwner · (508) 394-5556

Enumeration DateApril 17, 2007

Last NPPES UpdateAugust 28, 2014

✔ NPI 1982829495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MA · 80792

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

434 ROUTE 134, South Dennis, MA 02660

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Other Identifiers 3

Medicare UPINF34693MA

Other0000M16787MA · Blue Cross Blue Shield

Medicare PINM21255MA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Cranberry Square 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 Cranberry Square Dermatology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Koff, M.D.

Dermatology

NPI 1144217670

434 ROUTE 134 UNIT 1A
South Dennis, MA 02660

(508) 394-5556

✔ 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.

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 Cranberry Square Dermatology PC's NPI number?

The NPI number for Cranberry Square Dermatology PC is 1982829495. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Cranberry Square Dermatology PC located?

Cranberry Square Dermatology PC is located at 434 Route 134 Suite 1A, South Dennis, MA 02660. The listed phone number is (508) 394-5556.

What is Cranberry Square Dermatology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Cranberry Square Dermatology PC enrolled in Medicare?

Yes. Cranberry Square Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cranberry Square Dermatology PC?

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

What insurance does Cranberry Square Dermatology PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Cranberry Square 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 Cranberry Square Dermatology PC was last updated on August 28, 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.