NPIMap

Organization Active NPI

Dermatology & Skin Care Assoc PC

  • Dermatology Physician
  • Wellesley, MA
National Provider Identifier
1003005331
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
216859 Issued in MA
Legal business name
DERMATOLOGY & SKIN CARE ASSOC PC
Practice address
10 Laurel Ave Suite 300
Wellesley, MA 02481
Phone
(781) 235-8155
Fax
(781) 235-2855
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pamela K Weinfeld, MDNPI 1386600443
Title
President
Phone
(781) 235-8155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 216859 MA Primary

Addresses

Primary practice location

10 Laurel Ave Suite 300
Wellesley, MA 02481

Mailing address

10 Laurel Ave Suite 300
Wellesley, MA 02481
Phone (781) 235-8155

Other identifiers 1

IdentifierTypeStateIssuer
M19446OtherMABCBS

Other names 1

  • Dermatology Associates of Greater Boston PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080204000426 MA Part B Supplier - Clinic/Group Practice 5193807899 Receives reassigned benefits from 16 practitioners
Practice locations: Wellesley, MA

National Provider Directory

National Provider Directory

Locations

10 Laurel Ave
Wellesley, MA 02481
Phone (781) 235-8155

10 Laurel Ave
Fl 3
Wellesley Hills, MA 02481

Interoperability endpoints

  • Direct secure messaging: weinfeld.pamela.dsca@direct.partners.masshiway.net
  • Direct secure messaging: laraia.anne.dsca@direct.partners.masshiway.net
  • Direct secure messaging: goodkin.rashel.dsca@direct.partners.masshiway.net
  • Direct secure messaging: wolpowitz.deon.dsca@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1003005331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAUREL AVE SUITE 300",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-235-8155",
            "fax_number": "781-235-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LAUREL AVE SUITE 300",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-235-8155",
            "fax_number": "781-235-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & SKIN CARE ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "WEINFELD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-235-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "216859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M19446",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of Greater Boston PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.