ID OF MASSACHUSETTS LLC
NPI 1477229326
Dermatology in Quincy, MA

NPI Status: Active since August 20, 2021

Contact Information

500 CONGRESS ST STE B1
QUINCY, MA
ZIP 02169
Phone: (617) 472-6764

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  • Organization
  • Dermatology

About ID OF MASSACHUSETTS LLC

This page provides the complete NPI Profile along with additional information for Id Of Massachusetts Llc, a provider established in Quincy, Massachusetts operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1477229326 assigned on August 2021. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Id Of Massachusetts Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jennifer T Haley Md (Authorized Group Official)

NPI
1477229326
Provider Name
ID OF MASSACHUSETTS LLC
Entity Type
Organization
Location Address
500 CONGRESS ST STE B1 QUINCY, MA 02169
Location Phone
(617) 472-6764
Mailing Address
4700 EXCHANGE CT STE 110 BOCA RATON, FL 33431
Mailing Phone
(561) 314-2000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2021
Last Update Date
08-20-2021
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A dermatologist like Id Of Massachusetts Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

JENNIFER T HALEY MD

Authorized Official Title
AUTHORIZED GROUP OFFICIAL
Authorized Official Phone
(561) 314-2000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477229326
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24147421834
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 4 + 2 + 1 + 8 + 3 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1477229326 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336410398 JIE CHEN P. A.
Individual
Physician Assistant500 CONGRESS ST STE B1
QUINCY, MA 02169
(617) 472-6764
1043792757 MEGAN FLAHERTY NP
Individual
Nurse Practitioner (Family)500 CONGRESS ST STE B1
QUINCY, MA 02169
(617) 934-0024
1467932251INTEGRATED DERMATOLOGY OF MASSACHUSETTS, LLC
Organization
Dermatology500 CONGRESS ST STE B1
QUINCY, MA 02169
(617) 472-6764
1407445711INTEGRATED DERMATOLOGY OF PLYMOUTH, LLC
Organization
Dermatology500 CONGRESS ST STE B1
QUINCY, MA 02169
(617) 472-6764
1760908677 REBECA JINGA PA-C
Individual
Physician Assistant500 CONGRESS ST STE B1
QUINCY, MA 02169
(617) 472-6764
1053088377ID OF QUINCY LLC
Organization
Dermatology500 CONGRESS ST STE B1
QUINCY, MA 02169
(617) 472-6764

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477229326, enumerated in the NPI registry as an "organization" on August 20, 2021

The provider is located at 500 Congress St Ste B1 Quincy, Ma 02169 and the phone number is (617) 472-6764

This medical organization specializes in Dermatology with taxonomy code 207N00000X

This NPI record was last updated on August 20, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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