Individual provider Active NPI

Madeline Bachta, M.D.

  • Dermatology Physician
  • Needham, MA
National Provider Identifier
1154334357
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34991 Issued in MA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Care Assoc PC Dermatology Past Accepting new patients
Madeline Bachta, MD, PC Dermatology PastSince Mar 12, 1984 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.

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.

Verify at the official NPI Registry.