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

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: August 02, 2026.

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
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

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

Other Providers at the Same Location NPPES 8

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

Dermatology
434 ROUTE 134, UNIT 1A
SOUTH DENNIS, MA 02660
Radiology (Diagnostic Radiology)
434 ROUTE 134, SUITE C-2
SOUTH DENNIS, MA 02660
Internal Medicine
434 ROUTE 134, SUITE D1
SOUTH DENNIS, MA 02660
Clinic/Center (Radiology, Mammography)
434 ROUTE 134, UNIT C-2
SOUTH DENNIS, MA 02660
Physical Therapist
434 ROUTE 134, BLDG. D1
SOUTH DENNIS, MA 02660
Home Health
434 ROUTE 134, SUITE 1, BLDG G
SOUTH DENNIS, MA 02660
Radiology (Diagnostic Radiology)
434 ROUTE 134, SUITE C-2
SOUTH DENNIS, MA 02660
Radiology (Diagnostic Radiology)
434 ROUTE 134, SUITE C-2
SOUTH DENNIS, MA 02660

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.

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 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.