Waldman Plastic Surgery and Dermatology, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

13475 Issued in NH

Legal business name

WALDMAN PLASTIC SURGERY AND DERMATOLOGY, PLLC

Practice address

17 Riverside St Ste 105
Nashua, NH 03062-1383

Phone

(603) 577-5559

Fax

(603) 577-5579

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Jeremy Waldman, M.D.NPI 1437129665

Title

Owner/Medical Doctor

Phone

(603) 577-5559

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 7

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

• Jeremy Waldman, M.D.

  • Plastic Surgery Physician
  • Nashua, NH
  • NPI 1437129665
  Medicare reassignment Care Compare group NPD Authorized official
• Cheryl Belmont Waldman, M.D.

  • Dermatology Physician
  • Nashua, NH
  • NPI 1962447854
  Medicare reassignment Care Compare group NPD
• Kathryn Vatti, NP

  • Nurse Practitioner
  • Burlington, MA
  • NPI 1316413826

  NH

  Medicare reassignment Care Compare group NPD
• Anne Kezer, PA

  • Physician Assistant
  • Nashua, NH
  • NPI 1528656774
  Medicare reassignment Care Compare group
• Erin Elizabeth Primiano, PA-C

  • Medical Physician Assistant
  • Claremont, NH
  • NPI 1992064489
  Medicare reassignment Care Compare group
• Heather E Bigos, P.A.-C

  • Medical Physician Assistant
  • Dover, NH
  • NPI 1205207172
  NPD (past)
• Michelle Ryder, PA

  • Physician Assistant
  • Dover, NH
  • NPI 1487812780
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1376736330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST STE 105",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621383",
            "telephone_number": "603-577-5559",
            "fax_number": "603-577-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST STE 105",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621383",
            "telephone_number": "603-577-5559",
            "fax_number": "603-577-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDMAN PLASTIC SURGERY AND DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "603-577-5559",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NH",
            "license": "13474",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NH",
            "license": "13475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle L Wagner, BS
• Michelle Wagner, MS
• Stephen P Waible, OD
• Lindy Anne Walch, PH.D.
• Shelby Waldie
• Cheryl Belmont Waldman, M.D.
• Jeremy Waldman, M.D.
• Leonard Alan Waldman, D.M.D.
• Walgreen Co
• Walgreen Co

• Plastic Surgery Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Plastic Surgery Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.