NPIMap

Organization Active NPI

Northeast Dermatology Associates, PC

  • Specialist
  • North Andover, MA
National Provider Identifier
1104921162
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHEAST DERMATOLOGY ASSOCIATES, PC
Practice address
538 Turnpike St
North Andover, MA 01845
Phone
(978) 683-9201
Fax
(978) 686-2770
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Dr. Jeremy P Finkle, M.D.NPI 1538264098
Title
President
Phone
(978) 691-5690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

538 Turnpike St
North Andover, MA 01845

Mailing address

280 Merrimack Street
Suite 311
Lawrence, MA 01843-1779
Phone (978) 691-5690

Other practice location 1

138 Conant St Ste 1
Beverly, MA 01915-1666
Phone (978) 691-5690

Other practice location 2

197 Loudon Rd Ste 350
Concord, NH 03301-8000
Phone (978) 691-5690

Other practice location 3

616 Boston Post Rd Unit H
Sudbury, MA 01776-3376
Phone (978) 691-5690

Other practice location 4

519 US Route 1
York, ME 03909-1694
Phone (978) 691-5690

Other practice location 5

5 Paradise Rd
Salem, MA 01970-4229
Phone (978) 691-5690

Other practice location 6

155 Borthwick Ave Ste 201
Portsmouth, NH 03801-7156
Phone (978) 691-5690

Other practice location 7

198 Mass Ave
105
North Andover, MA 01845
Phone (978) 691-5690

Other practice location 8

1 Wallace Bashaw Way Ste 1002
Newburyport, MA 01950-3876
Phone (978) 691-5690

Other practice location 9

1 Widger Rd Ste 301
Marblehead, MA 01945-2146
Phone (978) 691-5690

Other practice location 10

721 Chestnut St
Manchester, NH 03104-3002
Phone (978) 691-5690

Other practice location 11

75 Gilcrest Road Unit 100
Londonderry, NH 03053
Phone (978) 691-5690

Other practice location 12

22 South St Ste 206
Hopkinton, MA 01748-2247
Phone (978) 691-5690

Other practice location 13

51 Webb Pl Ste 240
Dover, NH 03820-2454
Phone (978) 691-5690

Other practice location 14

1 Blackburn Dr
Gloucester, MA 01930-2292
Phone (978) 691-5690

Other practice location 15

62 Brown St Ste 304C
Haverhill, MA 01830-6790
Phone (978) 691-5690

Other practice location 16

23 Hampton Rd
Exeter, NH 03833-4807
Phone (978) 691-5690

Other practice location 17

262 S River Rd Ste 101
Bedford, NH 03110-6916
Phone (978) 691-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040317000655 MA Part B Supplier - Clinic/Group Practice 3072403799 Receives reassigned benefits from 70 practitioners
3 other NPIs on this enrollment
Practice locations: North Falmouth, MA; West Roxbury, MA; Swansea, MA; Salem, MA; Plymouth, MA; Norwell, MA; North Andover, MA; Newburyport, MA…
O20040317000864 ME Part B Supplier - Clinic/Group Practice 3072403799 Receives reassigned benefits from 13 practitioners
Practice locations: York, ME; Portland, ME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2250892Northeast Dermatology Associates519 US Route 1 Unit 2, York, ME 03909Provider-performed microscopyJan 30, 2028
22D2143861Northeast Dermatology Associates198 Mass Ave, North Andover, MA 01845Certificate of waiverFeb 5, 2028
22D2251112Northeast Dermatology Associates1 Widger Road, Marblehead, MA 01945Certificate of waiverJan 31, 2028
22D2253275Northeast Dermatology Associates, PLLC5 Paradise Rd, Salem, MA 01970Provider-performed microscopyFeb 17, 2028
22D2258241Northeast Dermatology Associates62 Brown St, Sute 304C, Haverhill, MA 01830Provider-performed microscopyApr 18, 2028
30D0086191Northeast Dermatology Associates, PC197 Loudon Rd, Concord, NH 03301Provider-performed microscopyOct 18, 2026

National Provider Directory

National Provider Directory

Locations (25 of 29)

3 Dundee Park Dr
Ste 202B
Andover, MA 01810

11 Chestnut St
Ste 1
Andover, MA 01810
Phone (978) 474-0145

396 Commonwealth Ave
Boston, MA 02215
Phone (617) 437-7333

38 Cambridge St Ste 1a
Burlington, MA 01803

491 Maple St
Danvers, MA 01923
Phone (978) 374-6770

60 Bailey Blvd
Haverhill, MA 01830

62 Brown St
Ste 340C
Haverhill, MA 01830

22 South St
Ste 205
Hopkinton, MA 01748

280 Merrimack St
Ste 327
Lawrence, MA 01843

280 Merrimack St
Ste 311
Lawrence, MA 01843
Phone (925) 819-6228

1 Wallace Bashaw Way
Ste 1002
Newburyport, MA 01950
Phone (978) 255-2612

1 Wallace Bashaw Way
Newburyport, MA 01950
Phone (888) 298-8127

3 Cherry St
Ste 1
Newburyport, MA 01950

1 Wallace Bashaw Way
Ste 102
Newburyport, MA 01950

820 Turnpike St
North Andover, MA 01845
Phone (978) 681-6605

125 Presumpscot St
Unit 18
Portland, ME 04103

125 Presumpscot St
Ste Btw
Portland, ME 04103

3 Hospital Dr
York, ME 03909
Phone (207) 351-1513

519 US Route 1
Unit 2
York, ME 03909
Phone (207) 351-1266

519 US Route 1
Unit 1
York, ME 03909

111 Loudon Rd
Concord, NH 03301
Phone (603) 224-2251

1 Webb Pl
Dover, NH 03820
Phone (603) 498-1278

51 Webb Pl
Ste 240
Dover, NH 03820

23 Hampton Rd
Bldg B
Exeter, NH 03833

111 Maplewood Ave
Portsmouth, NH 03801

Practitioners & affiliated clinicians

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1104921162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK STREET",
            "address_2": "SUITE 311",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431779",
            "telephone_number": "978-691-5690",
            "fax_number": "978-691-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 TURNPIKE ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-683-9201",
            "fax_number": "978-686-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Conant St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019151666",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 Loudon Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033018000",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 Boston Post Rd Unit H",
            "address_purpose": "LOCATION",
            "city": "Sudbury",
            "state": "MA",
            "postal_code": "017763376",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 US Route 1",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "039091694",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Paradise Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019704229",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Borthwick Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038017156",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "198 MASS AVE",
            "address_2": "105",
            "address_purpose": "LOCATION",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wallace Bashaw Way Ste 1002",
            "address_purpose": "LOCATION",
            "city": "Newburyport",
            "state": "MA",
            "postal_code": "019503876",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Widger Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Marblehead",
            "state": "MA",
            "postal_code": "019452146",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031043002",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 GILCREST ROAD UNIT 100",
            "address_purpose": "LOCATION",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "03053",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 South St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Hopkinton",
            "state": "MA",
            "postal_code": "017482247",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 Webb Pl Ste 240",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202454",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Blackburn Dr",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "MA",
            "postal_code": "019302292",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Brown St Ste 304C",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306790",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "NH",
            "postal_code": "038334807",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "262 S River Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106916",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST DERMATOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "FINKLE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-691-5690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.