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

NPI Status: Active since April 17, 2007

Contact Information

434 ROUTE 134
SUITE 1A
SOUTH DENNIS, MA
ZIP 02660
Phone: (508) 394-5556
Fax: (508) 394-2735

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  • Organization
  • Specialist
  • Accepts Insurance

About CRANBERRY SQUARE DERMATOLOGY PC

This page provides the complete NPI Profile along with additional information for Cranberry Square Dermatology Pc, a provider established in South Dennis, Massachusetts operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1982829495 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 80792 (MA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Amy Beth Koff M.d. (Owner)

NPI
1982829495
Provider Name
CRANBERRY SQUARE DERMATOLOGY PC
Entity Type
Organization
Location Address
434 ROUTE 134 SUITE 1A SOUTH DENNIS, MA 02660
Location Phone
(508) 394-5556
Location Fax
(508) 394-2735
Mailing Address
434 ROUTE 134 SUITE 1A SOUTH DENNIS, MA 02660
Mailing Phone
(508) 394-5556
Mailing Fax
(508) 394-2735
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
08-28-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
80792
License State
MA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AMY BETH KOFF M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(508) 394-5556

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F34693MEDICARE UPIN (02)MA 
0000M16787OTHER (01)MABLUE CROSS BLUE SHIELD
M21255MEDICARE PIN (08)MA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982829495, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 1 + 6 + 2 + 1 + 8 + 4 + 1 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1982829495.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982829495, enumerated as an "organization" on April 17, 2007.

The provider is located at 434 ROUTE 134 SUITE 1A SOUTH DENNIS, MA 02660 and the phone number is (508) 394-5556.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.