Philip S. Ellerin, MD,PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PHILIP S. ELLERIN, MD,PC

Practice address

172 Cambridge St
Suite 204
Burlington, MA 01803-2984

Phone

(781) 272-7022

Fax

(781) 272-8786

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Philip S Ellerin, MD

Title

Owner/Physician

Phone

(781) 272-7022

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154420008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILLIS LN",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401006",
            "telephone_number": "781-334-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 CAMBRIDGE ST",
            "address_2": "SUITE 204",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032984",
            "telephone_number": "781-272-7022",
            "fax_number": "781-272-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP S. ELLERIN, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLERIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "781-272-7022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TUFTS PROV #",
            "identifier": "709176",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard A. Pfeifer, MD
• Neelam Ameya Phadke, M.D.
• Laura T. L. Pham, MD
• Ashley Hong Phan, PA
• Philip S Ellerin MD
• Lynn Phillips, PHARMD
• Louis W Piacentini, PHARMD
• Maria Helena Piana
• Ann Marie Pianka, NP
• Laura Piechura

• Dermatology Physician in Burlington, MA
• Providers in Burlington, MA by specialty
• Dermatology 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.