Active NPI
Madeline Bachta, M.D.
- Dermatology Physician
- Needham, MA
National Provider Identifier
1154334357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 34991
- Practice address
- 300 Chestnut St
Suite 1200
Needham, MA 02492-2497 - Phone
- (781) 449-5224
- Fax
- (781) 449-0520
- NPI assigned
- Aug 15, 2006
- Last updated
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 34991 | MA | Primary |
Addresses
Primary practice location
300 Chestnut St
Suite 1200
Needham, MA 02492-2497
Mailing address
300 Chestnut St
Suite 1200
Needham, MA 02492-2497
Phone (781) 449-5224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology & Skin Care Assoc PC | Dermatology | Past | Accepting new patients |
| Madeline Bachta, MD, PC | Dermatology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dermatology Physician
- Needham, MA
- NPI 1700899929
-
- Dermatology Physician
- Wellesley, MA
- NPI 1003005331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1154334357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CHESTNUT ST",
"address_2": "SUITE 1200",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922497",
"telephone_number": "781-449-5224",
"fax_number": "781-449-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CHESTNUT ST",
"address_2": "SUITE 1200",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922497",
"telephone_number": "781-449-5224",
"fax_number": "781-449-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHTA",
"first_name": "MADELINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "34991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.