The Skin & Laser Surgery Center of NE

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THE SKIN & LASER SURGERY CENTER OF NE

Practice address

74 Allds St
Nashua, NH 03060-4757

Phone

(603) 886-5506

Fax

(603) 594-2585

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Khalil A Khatri, M.D.NPI 1033169610

Title

Owner

Phone

(603) 886-5506

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Practitioners 5

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

• Khalil A Khatri, M.D.

  • Dermatology Physician
  • Chelmsford, MA
  • NPI 1033169610

  NH

  Medicare reassignment Authorized official
• Rachael McGinn, FNP-BC

  • Family Nurse Practitioner
  • Nashua, NH
  • NPI 1518841881
  Medicare reassignment NPD
• Anastasia Koroleva

  • Family Nurse Practitioner
  • Nashua, NH
  • NPI 1083440150
  NPD
• Leah Antoinette Collins

  • Family Nurse Practitioner
  • Danvers, MA
  • NPI 1477129559
  NPD (past)
• Raichel Topale, NP

  • Family Nurse Practitioner
  • Worcester, MA
  • NPI 1760159941

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1497706691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ALLDS ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030604745",
            "telephone_number": "603-886-5506",
            "fax_number": "603-594-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ALLDS ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030604757",
            "telephone_number": "603-886-5506",
            "fax_number": "603-594-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SKIN & LASER SURGERY CENTER OF NE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "KHATRI",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-886-5506",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE",
            "identifier": "46467",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2125631",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "336743",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Counseling Center of Nashua Inc
• The Front Door Agency
• The Greater Nashua Dental Connection
• The Healing House PLLC
• The Process Health Group LLC
• The Surgery Center of Greater Nashua
• Therapeutic Dimensions Northeast, Inc.
• Therapeutic Interventions for Nurturing Attachment PLLC
• Robert Theriault, D.O.
• Lucinda Marie Theroux-Jette, PHD, OT/L, LAC

• Dermatology Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Dermatology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.