PARK DERMATOLOGY ASSOC PC
NPI 1598785016
Dermatology - Clinical & Laboratory Dermatological Immunology in Brockton, MA

NPI Status: Active since July 20, 2006

Contact Information

ONE PEARL ST
STE 2300
BROCKTON, MA
ZIP 02301
Phone: (508) 894-5100
Fax: (508) 894-5111

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  • Organization
  • Dermatology
  • Clinical & Laboratory Dermatological Imm...

About PARK DERMATOLOGY ASSOC PC

This page provides the complete NPI Profile along with additional information for Park Dermatology Assoc Pc, a provider established in Brockton, Massachusetts operating as a Dermatology, focusing in clinical & laboratory dermatological immunology . The healthcare provider is registered in the NPI registry with number 1598785016 assigned on July 2006. The practitioner's primary taxonomy code is 207NI0002X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jay M Ritt Md (Physician)

NPI
1598785016
Provider Name
PARK DERMATOLOGY ASSOC PC
Entity Type
Organization
Location Address
ONE PEARL ST STE 2300 BROCKTON, MA 02301
Location Phone
(508) 894-5100
Location Fax
(508) 894-5111
Mailing Address
ONE PEARL ST STE 2300 BROCKTON, MA 02301
Mailing Phone
(508) 894-5100
Mailing Fax
(508) 894-5111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2006
Last Update Date
02-12-2008
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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 Clinical & Laboratory Dermatological Immunology

Taxonomy Code
207NI0002X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

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:

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. JAY M RITT MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(508) 894-5100

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
9717404MEDICAID (05)MA 
M14435MEDICARE PIN (08)MA 

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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.
1598785016
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251881481002
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 4 + 8 + 1 + 0 + 0 + 2 + 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 1598785016 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952372625MRS. TRACY F ST. HILAIRE MSPT
Individual
Physical TherapistONE PEARL ST NATFI INC STE 1700
BROCKTON, MA 02301
(508) 580-1690

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598785016, enumerated in the NPI registry as an "organization" on July 20, 2006

The provider is located at One Pearl St Ste 2300 Brockton, Ma 02301 and the phone number is (508) 894-5100

This medical organization specializes in Dermatology with taxonomy code 207NI0002X with a focus in Clinical & Laboratory Dermatological Immunology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 20, 2006. 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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