SOUTH SHORE DERMATOLOGY PHYSICIANS PC
NPI 1992988703
Dermatology in North Easton, MA
NPI Status: Active since December 14, 2007
Contact Information
31 ROCHE BROS WAY
STE 200
NORTH EASTON, MA
ZIP 02356
Phone: (508) 535-3376
Fax: (508) 535-3377
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 22D1078385
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-05-2027
About SOUTH SHORE DERMATOLOGY PHYSICIANS PC
This page provides the complete NPI Profile along with additional information for South Shore Dermatology Physicians Pc, a provider established in North Easton, Massachusetts operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1992988703 assigned on December 2007. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 5 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 provider's is doing business as South Shore Dermatology Physicians Pc. The authorized official of this NPI record is Lynn Johnson (Office Manager)
- NPI
- 1992988703
- Provider Legal Name
- SOUTH SHORE DERMATOLOGY PHYSICIANS, P.C.
- Other Organization Name
- SOUTH SHORE DERMATOLOGY PHYSICIANS PC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 31 ROCHE BROS WAY STE 200 NORTH EASTON, MA 02356
- Location Phone
- (508) 535-3376
- Location Fax
- (508) 535-3377
- Mailing Address
- 31 ROCHE BROS WAY STE 200 NORTH EASTON, MA 02356
- Mailing Phone
- (508) 535-3376
- Mailing Fax
- (508) 535-3377
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2007
- Last Update Date
- 10-22-2020
- Code Navigator
A dermatologist like South Shore Dermatology Physicians Pc 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.
Location Map
Secondary Locations
- 31 Roche Bros Way Suite 200
North Easton, MA 02356
(508) 535-3376
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 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 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - 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%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D1078385
- Facility Type
- Physician Office
- Certificate Effective Date
- April 06, 2025
- Certificate Expiration Date
- April 05, 2027
- Laboratory Director
- BEATRIZ O. TAPIA-CENTOLA
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to South Shore Dermatology Physicians Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 9 | 9 | 2 | 9 | 8 | 8 | 7 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 18 | 8 | 16 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 1 + 8 + 8 + 1 + 6 + 7 + 0 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1992988703 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275505547 | JAY M RITT MD Individual | Dermatology (Clinical & Laboratory Dermatological Immunology) | 31 ROCHE BROS WAY SUITE 200 NORTH EASTON, MA 02356 (508) 535-3376 |
| 1508838525 | VIRAJ O SHROFF-MEHTA MD Individual | Dermatology (Clinical & Laboratory Dermatological Immunology) | 31 ROCHE BROS WAY SUITE 200 NORTH EASTON, MA 02356 (508) 535-3376 |
| 1952374209 | LEERA M BRICENO MD Individual | Dermatology | 31 ROCHE BROS WAY SUITE 200 NORTH EASTON, MA 02356 (508) 535-3376 |
| 1023022522 | AMY S CHANG MD Individual | Dermatology | 31 ROCHE BROS WAY SUITE 200 NORTH EASTON, MA 02356 (508) 535-3376 |
| 1477855237 | GREATER BOSTON UROLOGY, LLC Organization | Urology | 31 ROCHE BROS WAY SUITE 100 NORTH EASTON, MA 02356 (508) 238-0800 |
| 1730186693 | PADRAIC D MCCAHILL M.D. Individual | Urology | 31 ROCHE BROS WAY STE. 100 NORTH EASTON, MA 02356 (508) 238-0800 |
| 1841297710 | DR. JAMES M FITZGERALD M.D. Individual | Urology | 31 ROCHE BROS WAY SUITE 100 NORTH EASTON, MA 02356 (508) 238-0800 |
| 1720085400 | RICHARD B MCARDLE M.D. Individual | Urology | 31 ROCHE BROS WAY STE 100 NORTH EASTON, MA 02356 (508) 238-0800 |
| 1992972574 | RYAN E FRANKEL M.D. Individual | Urology | 31 ROCHE BROS WAY SUITE 100 NORTH EASTON, MA 02356 (508) 238-0800 |
| 1184851826 | LINDSAY EMINGER M.D. Individual | Dermatology | 31 ROCHE BROS WAY SUITE 200 NORTH EASTON, MA 02356 (508) 535-3376 |
| 1659316701 | KEITH S MERLIN M.D. Individual | Obstetrics & Gynecology | 31 ROCHE BROS WAY NORTH EASTON, MA 02356 (508) 894-8740 |
| 1750576351 | DR. CHRISTINE URMAN M.D. Individual | Dermatology | 31 ROCHE BROS WAY SUITE 200 NORTH EASTON, MA 02356 (508) 535-3376 |
| 1982695573 | DR. DANIEL S LOO MD Individual | Dermatology | 31 ROCHE BROS WAY SUITE 200 NORTH EASTON, MA 02356 (508) 535-3376 |
| 1275064909 | GBU STEWARD LLC Organization | Urology | 31 ROCHE BROS WAY UNIT 100 NORTH EASTON, MA 02356 (855) 505-3335 |
| 1093949232 | DR. KATHLEEN MARIE PETILLO D.O. Individual | Pediatrics | 31 ROCHE BROS WAY NORTH EASTON, MA 02356 (508) 894-8760 |
| 1194374751 | JENNIFER S GOLDBLATT NP Individual | Nurse Practitioner | 31 ROCHE BROS WAY NORTH EASTON, MA 02356 (508) 894-8740 |
| 1881681237 | BHARAT KUMAR V PATEL MD Individual | Internal Medicine | 31 ROCHE BROS WAY NORTH EASTON, MA 02356 (508) 894-8730 |
| 1336147438 | BROCKTON UROLOGY CLINIC INC Organization | Urology | 31 ROCHE BROS WAY SUITE 100 NORTH EASTON, MA 02356 (508) 238-0800 |
| 1902287998 | DR. YIRAN XU M.D. Individual | Obstetrics & Gynecology | 31 ROCHE BROS WAY NORTH EASTON, MA 02356 (508) 894-8740 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992988703, enumerated in the NPI registry as an "organization" on December 14, 2007
The provider is located at 31 Roche Bros Way Ste 200 North Easton, Ma 02356 and the phone number is (508) 535-3376
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 22D1078385 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on December 14, 2007. 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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