Individual provider Active NPI

Caren Droesch, M.D.

  • Dermatology Physician
  • Wellesley, MA
National Provider Identifier
1396193777
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
267688 Issued in MA
Practice address
20 William St Ste G15
Wellesley, MA 02481-4102
Phone
(781) 591-4234
Fax
(781) 369-9737
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 267688 MA Primary

Addresses

Primary practice location

20 William St Ste G15
Wellesley, MA 02481-4102

Mailing address

20 William St Ste G15
Wellesley, MA 02481-4102
Phone (781) 591-4234

Other practice location 1

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

Other practice location 2

1305 York Ave Fl 9
New York, NY 10021-5663
Phone (646) 962-7275

Other names 1

  • Caren Garber Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819003327 MA Practitioner - Dermatology 1850688573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Dental Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermwellesley LLCGroup PAC ID 1850644071, 9 clinicians

Practice addresses (Care Compare)

20 William St
Suite G15
Wellesley, MA 02481-4102
Phone (781) 591-4234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions298
Skin biopsy155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
267688MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermwellesley LLC Dermatology CurrentSince Sep 14, 2020 Accepting new patients

Locations

20 William St
Ste G15
Wellesley Hills, MA 02481
Phone (781) 591-4234

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1396193777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILLIAM ST STE G15",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814102",
            "telephone_number": "781-591-4234",
            "fax_number": "781-369-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILLIAM ST STE G15",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814102",
            "telephone_number": "781-591-4234",
            "fax_number": "781-369-9737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 York Ave Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215663",
            "country_code": "US",
            "telephone_number": "646-962-7275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DROESCH",
        "first_name": "CAREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "267688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREN",
            "last_name": "GARBER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.