Individual provider Active NPI

Joshua Shofner

  • Dermatology Physician
  • Winchester, MA
National Provider Identifier
1023218237
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
242212 Issued in MA
Practice address
955 Main St Ste G6
Winchester, MA 01890-1992
Phone
(781) 729-4878
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 242212 MA Primary

Addresses

Primary practice location

955 Main St Ste G6
Winchester, MA 01890-1992

Mailing address

91 Munroe St
Apt 2R
Somerville, MA 02143-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000403 MA Practitioner - Dermatology 5496913139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leominster Dermatology LLPGroup PAC ID 7416251483, 14 clinicians
Westford Dermatology and Cosmetic Center LLCGroup PAC ID 6305096181, 5 clinicians
Robert J Obrien Jr MD and Assoc PCGroup PAC ID 1557250586, 19 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Suite 2D
Leominster, MA 01453-2253
Phone (978) 534-0582

506 Groton Rd
Westford, MA 01886-6326
Phone (978) 399-0061

955 Main St
Suite G6
Winchester, MA 01890-1992
Phone (781) 729-4878

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision388
Removal of skin lesions2066
Skin biopsy859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Obrien Jr MD & Assoc PC Dermatology CurrentSince Jun 1, 2012 Accepting new patients
Leominster Dermatology LLP Dermatology CurrentSince Feb 1, 2024 Accepting new patients
Westford Dermatology and Cosmetic Center LLC Dermatology CurrentSince Sep 2, 2025 Accepting new patients

Locations

83 Herrick St
#3000
Beverly, MA 01915

140 Commonwealth Ave
Danvers, MA 01923
Phone (978) 750-0200

308 W Broadway
Ste 3
Gardner, MA 01440
Phone (978) 534-0582

100 Hospital Rd
Ste 2D
Leominster, MA 01453
Phone (978) 534-0582

95 Main St
Ste 2
Reading, MA 01867
Phone (781) 205-4138

506 Groton Rd
Westford, MA 01886
Phone (978) 399-0061

955 Main St
Ste G6
Winchester, MA 01890
Phone (781) 729-3680

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1023218237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MUNROE ST",
            "address_2": "APT 2R",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE G6",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901992",
            "telephone_number": "781-729-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFNER",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "242212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.