Vivaskin Dermatology and Aesthetics

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

VIVASKIN DERMATOLOGY AND AESTHETICS

Practice address

70 Hastings St # LL-2
Wellesley Hills, MA 02481-5439

Phone

(781) 261-0085

Fax

(781) 253-5240

NPI assigned

Jan 10, 2022

Last updated

Jan 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hyemin Yang Pomerantz, MDNPI 1346506763

Title

Owner

Phone

(646) 717-3448

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

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00318

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Vivaskin Dermatology Surgery Center, PLLC

  • Dermatology Physician
  • Wellesley, MA
  • NPI 1417764523
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hyemin Yang Pomerantz

  • Dermatology Physician
  • Wellesley, MA
  • NPI 1346506763
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Tsuang Warner, PA-C

  • Physician Assistant
  • Andover, MA
  • NPI 1457069965
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1245981414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HASTINGS ST # LL-2",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024815439",
            "telephone_number": "781-261-0085",
            "fax_number": "781-253-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HASTINGS ST # LL-2",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024815439",
            "telephone_number": "781-261-0085",
            "fax_number": "781-253-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVASKIN DERMATOLOGY AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "POMERANTZ",
        "authorized_official_first_name": "HYEMIN",
        "authorized_official_middle_name": "YANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-717-3448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice P. Tuckman, LICSW
• Meredith Tumilty, PSYD
• Rita Ann Vatcher, MA, LMHC
• Vicki Heller, MD
• Kelly Vinitsky, FNP
• Wachusett Healthcare Management Company, LLC (Wachusett Healthcare)
• Wachusett Ventures LLC
• Whitney Ward
• Annlouise Fisher Warmington, MS,RN,FNP-BC
• Zoe E Weinstein, PA-C

• Dermatology Physician in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.