Integrative Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATIVE DERMATOLOGY PC

Practice address

1172 Beacon St
Suite 402
Newton, MA 02461-1146

Phone

(617) 558-5580

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Valori Treloar, MDNPI 1972550606

Title

Owner

Phone

(617) 558-5580

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 1

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

• Valori D Treloar, M.D.

  • Dermatology Physician
  • Newton, MA
  • NPI 1972550606
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1154522860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 BEACON ST",
            "address_2": "SUITE 402",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611146",
            "telephone_number": "617-558-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 BEACON ST",
            "address_2": "SUITE 402",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611146",
            "telephone_number": "617-558-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "TRELOAR",
        "authorized_official_first_name": "VALORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-558-5580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insightful Direction, LLC
• Andrea Werner Insoft, LICSW
• Integrated Learning Academy Newton
• Integrated Learning Academy Newton
• Integrated Learning Academy Newton
• Despina Ioannidis, PHARMD
• Shelly Isaacs, PSY.D
• Midoriko Ishigaki, DMD
• Anna Israel
• Carol Ann Ivan, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.