Active NPI
Alejandro Peralta Soler, MD
- Dermatopathology (Pathology) Physician
- Needham, MA
National Provider Identifier
1295775385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 35087640
- Practice address
- 15 Crawford St Ste 100
Needham, MA 02494 - Phone
- (617) 969-4100
- NPI assigned
- Jun 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 35087640 | OH | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 35087640 | OH | Primary |
Addresses
Primary practice location
15 Crawford St Ste 100
Needham, MA 02494
Mailing address
15 Crawford St Ste 100
Needham, MA 02494-2618
Phone (617) 969-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35087640 | OH | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cohen Dermatopathology, P.C. | Current | Accepting new patients | |
| Cohen Dermatopathology, P.C. | Anatomic Pathology | Current | Accepting new patients |
Locations
15 Crawford St
Ste 100
Needham Heights, MA 02494
Phone (617) 969-4100
1111 S Freeport Pkwy
Coppell, TX 75019
Phone (214) 277-8700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Coppell, TX
- NPI 1942223029
MA
-
- Clinical Medical Laboratory
- Needham, MA
- NPI 1477522910
-
- Anatomic Pathology Physician
- Needham, MA
- NPI 1770755456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1295775385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CRAWFORD ST STE 100",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942618",
"telephone_number": "617-969-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CRAWFORD ST STE 100",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "02494",
"telephone_number": "617-969-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA SOLER",
"first_name": "ALEJANDRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "OH",
"license": "35087640",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "OH",
"license": "35087640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.