Skin Pathology Laboratory, Inc.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

SKIN PATHOLOGY LABORATORY, INC.

Practice address

609 Albany St FL 3
Boston, MA 02118-2515

Phone

(617) 638-5570

Fax

(617) 638-5575

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jag Bhawan, M.D.

Title

President

Phone

(617) 638-5570

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Candice Elizabeth Brem, M.D.

  • Dermatopathology (Pathology) Physician
  • Boston, MA
  • NPI 1144631367
  NPD (past)
• Rosalynn M. Nazarian, MD

  • Dermatopathology Physician
  • Boston, MA
  • NPI 1992831762
  NPD (past)
• Christopher M. Dimarco, M.D.

  • Dermatology Physician
  • Riverside, RI
  • NPI 1922391150

  Dermatopathology

  NPD (past)
• Daniel David Miller, M.D.

  • Dermatology Physician
  • Minneapolis, MN
  • NPI 1770745978

  Dermatopathology

  NPD (past)
• Arash Radfar, M.D.

  • Dermatopathology (Pathology) Physician
  • Baltimore, MD
  • NPI 1093814394
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073648069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 WORCESTER RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025259",
            "telephone_number": "508-620-2800",
            "fax_number": "508-620-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ALBANY ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182515",
            "telephone_number": "617-638-5570",
            "fax_number": "617-638-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN PATHOLOGY LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHAWAN",
        "authorized_official_first_name": "JAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-638-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9750878",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Skelly, NP
• Wendy Skelton, P.A.
• Lashanda Stephanie Skerritt, M.D.
• Megan Skerry
• Serena Skiffington, N.P.
• Christopherq C Skinner, LICSW
• Martha M Skinner, M.D.
• Piper Skinner
• Megan Skoczylas
• Barbara Chase Skog, RN

• Dermatopathology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Dermatopathology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.