Individual provider Active NPI

Haley Snadecki, MD

  • Dermatology Physician
  • Salem, MA
National Provider Identifier
1508276023
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
274055 Issued in MA
Practice address
5 Paradise Rd
Salem, MA 01970-4229
Phone
(978) 691-5690
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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 274055 MA Primary

Addresses

Primary practice location

5 Paradise Rd
Salem, MA 01970-4229

Mailing address

280 Merrimack St Ste 311
Lawrence, MA 01843-1779
Phone (978) 691-5690

Other practice location 1

1 Widger Rd
Marblehead, MA 01945-2146
Phone (978) 691-5690

Other practice location 2

1 Blackburn Dr
Gloucester, MA 01930-2292
Phone (978) 691-5690

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
I20180910001372 MA Practitioner - Dermatology 5092024877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Blackburn Dr
Gloucester, MA 01930-2292
Phone (978) 675-0678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of skin lesions1415
Removal or shaving of skin growth1-10
Skin biopsy722

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274055MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neda at North Shore PC Dermatology CurrentSince Sep 4, 2018 Accepting new patients
Northeast Dermatology Associates, PC CurrentSince Sep 4, 2018 Accepting new patients

Locations

1 Blackburn Dr
Gloucester, MA 01930
Phone (978) 282-3698

280 Merrimack St
Ste 311
Lawrence, MA 01843
Phone (925) 819-6228

1 Widger Rd
Marblehead, MA 01945
Phone (781) 631-5126

1 Wallace Bashaw Way
Ste 1002
Newburyport, MA 01950
Phone (978) 255-2612

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

5 Paradise Rd
Salem, MA 01970
Phone (978) 306-5678

Interoperability endpoints

  • Direct secure messaging: haley.snadecki@pd.eclinicaldirectplus.com
  • Direct secure messaging: hsnadecki@nedermatology.emadirect.md

Organizations & group practices 2

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 3

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1508276023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK ST STE 311",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431779",
            "telephone_number": "978-691-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARADISE RD",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704229",
            "telephone_number": "978-691-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Widger Rd",
            "address_purpose": "LOCATION",
            "city": "Marblehead",
            "state": "MA",
            "postal_code": "019452146",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Blackburn Dr",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "MA",
            "postal_code": "019302292",
            "country_code": "US",
            "telephone_number": "978-691-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNADECKI",
        "first_name": "HALEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "274055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.