Dermatology Consultants at Newton-Wellesley PC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

DERMATOLOGY CONSULTANTS AT NEWTON-WELLESLEY PC

Practice address

2000 Washington St
B120
Newton Lower Falls, MA 02462-1602

Phone

(617) 969-0210

Fax

(617) 527-6019

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Francis S Renna, M.D.

Title

Owner

Phone

(617) 969-0210

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Francis Renna, M.D. and Associates Former legal business name

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

Interoperability endpoints

• Direct secure messaging: jones.david.dcnw@direct.partners.masshiway.net
• Direct secure messaging: oneill.molly.dcnw@direct.partners.masshiway.net
• Direct secure messaging: scanlon.jessica.dcnw@direct.partners.masshiway.net

Practitioners 3

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

• Jessica Scanlon, M.D.

  • Dermatology Physician
  • Boston, MA
  • NPI 1689833857
  Medicare reassignment Care Compare group NPD
• David A. Jones, M.D., PH.D.

  • Dermatology Physician
  • Newton, MA
  • NPI 1952339327
  Medicare reassignment Care Compare group
• Molly O'Neill, PA-C

  • Physician Assistant
  • Newton, MA
  • NPI 1740993385
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1174729628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "B120",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621602",
            "telephone_number": "617-969-0210",
            "fax_number": "617-527-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "B120",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621602",
            "telephone_number": "617-969-0210",
            "fax_number": "617-527-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CONSULTANTS AT NEWTON-WELLESLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "RENNA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-969-0210",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MA",
            "license": "36142",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9773479",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012883",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Francis Renna, M.D. and Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Paul Birnbaum, M.D.
• Teresa R Cahill, MD
• Jill Susan Charney, LICSW
• Nancy L. Cooper, M.D.
• Thomas Patrick Cunningham III, M.D.
• Matthias Bernard Donelan, MD
• Daniel N Driscoll, MD
• Ely a Kirschner MD PC
• Allan Norman Engel, M.D.
• Marc Robert Freiman, M.D.

• Procedural Dermatology Physician in Newton Lower Falls, MA
• Providers in Newton Lower Falls, MA by specialty
• Procedural Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.