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NORTHEAST DERMATOLOGY ASSOCIATES PC NPI 1699180620


NPI Information

NPI: 1699180620
Provider Name: NORTHEAST DERMATOLOGY ASSOCIATES, PC

Other Name: NEDA

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
138 CONANT ST
FIRST FLOOR
BEVERLY, MA
ZIP 01915
Phone: (978) 691-5690
Get Directions

NORTHEAST DERMATOLOGY ASSOCIATES, PC is a dermatology in Beverly, MA. The provider is 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. NORTHEAST DERMATOLOGY ASSOCIATES, PC NPI is 1699180620. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Neda.

The provider's business location address is:

138 CONANT ST
FIRST FLOOR
BEVERLY, MA
ZIP 01915-665
Phone: (978) 691-5690
Fax: (978) 691-5693

The provider's authorized official is Jeremy P Finkle .
The authorized official title is President and has the following contact phone number (978) 691-5690.

The enumeration date for this NPI number is 6/28/2014 and was last updated on 6/28/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2207ND0900XDermatologyDermatopathologyNo
3207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A58205MEDICARE UPINNEW HAMPSHIRE
2B73677MEDICARE UPINMASSACHUSETTS
3H09161MEDICARE UPINNEW HAMPSHIRE
4M15432MEDICARE PINMASSACHUSETTS
5B38255MEDICARE UPINMASSACHUSETTS
6F25527MEDICARE UPINNEW HAMPSHIRE
7G03932MEDICARE UPINMASSACHUSETTS
8H28566MEDICARE UPINMAINE
9B58000MEDICARE UPINMASSACHUSETTS
10G92172MEDICARE UPINMASSACHUSETTS
11MM6161MEDICARE UPINMAINE
12B73682MEDICARE UPINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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