Integrated Dermatology of Brookline, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATED DERMATOLOGY OF BROOKLINE, LLC

Practice address

1101 Beacon St Ste 1E
Brookline, MA 02446-5587

Phone

(617) 731-2390

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Adam S Plotkin, MD

Title

Authorized Group Official

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 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 8

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

• Neil Houston, MD

  • Dermatology Physician
  • Brookline, MA
  • NPI 1730619925

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Miaoyuan May Wang, M.D.

  • Dermatology Physician
  • Brookline, MA
  • NPI 1447679436
  Medicare reassignment Care Compare group NPD
• Ashley Hoffman, PA-C

  • Medical Physician Assistant
  • Westfield, MA
  • NPI 1770855256
  Medicare reassignment Care Compare group
• Ashley Lauren Olson, PA-C

  • Physician Assistant
  • Andover, MA
  • NPI 1356195697
  Medicare reassignment Care Compare group
• Megan Cox Webb, PA-C

  • Physician Assistant
  • Brookline, MA
  • NPI 1679607774
  Medicare reassignment Care Compare group
• Hanna Marie Sutton, PA-C

  • Physician Assistant
  • Elgin, IL
  • NPI 1619591385

  MA

  Medicare reassignment Care Compare group
• Marissa Lynn Zingg, APRN

  • Family Nurse Practitioner
  • Brookline, MA
  • NPI 1932802097
  Medicare reassignment NPD
• Alan S Rockoff, M.D.

  • Dermatology Physician
  • Brookline, MA
  • NPI 1457463127
  NPD

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1104389154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST STE 1E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465587",
            "telephone_number": "617-731-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF BROOKLINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED GROUP OFFICIAL",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Oasis Counseling, PLLC
• Innherself Pelvic Health LLC
• Innovare Medical, PC
• Brie A Insalaco, PH.D.
• Insight Brookline Psychotherapy
• Iveta Iontcheva-Barehmi, DMD, MS, DSC,
• Ipekci Psychotherapy Services LLC
• Irina Deresh DMD
• Jennifer Irvin, LICSW
• Keith Kim Irving, PH.D.

• Dermatology Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.