Active NPI
Michael M Pugliese, MD
- Dermatology Physician
- Concord, MA
National Provider Identifier
1184619223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35385
- Practice address
- 290 Baker Ave
Suite 220N
Concord, MA 01742-2189 - Phone
- (978) 369-9023
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- 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 | 35385 | MA | Primary |
Addresses
Primary practice location
290 Baker Ave
Suite 220N
Concord, MA 01742-2189
Mailing address
290 Baker Ave
Suite 220N
Concord, MA 01742-2189
Phone (978) 369-9023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2038986 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184619223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 BAKER AVE",
"address_2": "SUITE 220N",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422189",
"telephone_number": "978-369-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 BAKER AVE",
"address_2": "SUITE 220N",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422189",
"telephone_number": "978-369-9023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLIESE",
"first_name": "MICHAEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "35385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2038986",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
- Catherine M Price, MD
- Lloyd Franklin Price, MD
- Private Practice (Anne Westcott LICSW)
- Protestant Guild for Human Services, Inc.
- Inger-Marie R Pu, MD
- Joyce Ann Pulcini, PHD, RN, FNP-BC
- Joseph Puliafico, RN
- Pyramid Healthcare Massachusetts, LLC
- Jennifer Erin Quest-Stern, MS, LMHC
- Joanna Radziejowska, RDN, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.