Organization Active NPI

Dermatology, Laser & Aesthetics, PLLC

Doing business as CMD Dermatology, Laser & Aesthetics

  • Procedural Dermatology Physician
  • Boston, MA
National Provider Identifier
1366128159
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
DERMATOLOGY, LASER & AESTHETICS, PLLC
Doing business as
CMD Dermatology, Laser & Aesthetics
Practice address
745 Boylston Street Suite 203
Boston, MA 02116
Phone
(617) 895-6086
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Catherine Marie Digiorgio, MDNPI 1952543506
Title
Medical Director
Phone
(617) 895-6086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

745 Boylston Street Suite 203
Boston, MA 02116

Mailing address

77 Exeter St Apt 1606
Boston, MA 02116
Phone (504) 621-4488

Other names 1

  • CMD Dermatology, Laser & Aesthetics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2316367Dermatology, Laser & Aesthetics, PLLC745 Boylston Street, Suite 203, Boston, MA 02116Provider-performed microscopyJan 2, 2027

National Provider Directory

National Provider Directory

Locations

745 Boylston St
Ste 203
Boston, MA 02116
Phone (617) 895-6086

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1366128159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 EXETER ST APT 1606",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "504-621-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 BOYLSTON STREET SUITE 203",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-895-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY, LASER & AESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "DIGIORGIO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-895-6086",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMD Dermatology, Laser & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMD Dermatology, Laser & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.