Individual provider Active NPI

Robert Delaney Murgia III, D.O.

  • Dermatology Physician
  • Dover, NH
National Provider Identifier
1063804441
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20656 Issued in NH
Practice address
784 Central Ave
Dover, NH 03820-2549
Phone
(603) 742-5556
NPI assigned
Feb 23, 2015
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 0102205027 VA
Dermatology Physician 207N00000X 20656 NH Primary

Addresses

Primary practice location

784 Central Ave
Dover, NH 03820-2549

Mailing address

784 Central Ave
Dover, NH 03820-2549
Phone (603) 742-5556

Other practice location 1

1C Commons Dr Unit 16
Londonderry, NH 03053-3441
Phone (603) 965-3551

Other practice location 2

54 Scott Adam Rd Ste 301
Hunt Valley, MD 21030-3360
Phone (410) 666-3960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201016001476 MA Practitioner - Dermatology 5890081533 Reassigns benefits to 3 organizations
I20201222000488 NH Practitioner - Dermatology 5890081533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of New England, College of Osteo Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Gary Mendese MD LLCGroup PAC ID 8123431210, 3 clinicians
Dermatology and Skin Health LLCGroup PAC ID 8527439876, 3 clinicians
Campbell Dermatology PAGroup PAC ID 9537154059, 19 clinicians

Practice addresses (Care Compare)

23 Centennial Dr
Peabody, MA 01960-7901
Phone (978) 525-0100

784 Central Ave
Dover, NH 03820-2549
Phone (603) 742-5556

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision63
Removal of skin lesions918
Removal or shaving of skin growth25
Skin biopsy243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102205027VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Dermatology PA Single Specialty CurrentSince Oct 1, 2020 Accepting new patients
Dermatology and Skin Health LLC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Gary Mendese, MD, LLC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Derry Dermatology, PLLC Single Specialty CurrentSince Oct 1, 2020 Accepting new patients
Internal Medicine Physicians of the North Shore LLC Single Specialty CurrentSince Sep 14, 2020 Accepting new patients

Locations

23 Centennial Dr
Peabody, MA 01960
Phone (978) 525-0100

27 Centennial Dr
Peabody, MA 01960
Phone (978) 531-7677

784 Central Ave
Dover, NH 03820
Phone (603) 742-5556

1C Commons Dr
Unit 16
Londonderry, NH 03053
Phone (603) 818-8374

Interoperability endpoints

  • Direct secure messaging: murgia.robert.impns@direct.partners.masshiway.net

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1063804441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202549",
            "telephone_number": "603-742-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202549",
            "telephone_number": "603-742-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1C Commons Dr Unit 16",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533441",
            "country_code": "US",
            "telephone_number": "603-965-3551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 Scott Adam Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Hunt Valley",
            "state": "MD",
            "postal_code": "210303360",
            "country_code": "US",
            "telephone_number": "410-666-3960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURGIA",
        "first_name": "ROBERT",
        "middle_name": "DELANEY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102205027",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "20656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.