Organization Active NPI

Dermatology Partners Inc

  • Dermatology Physician
  • Wellesley Hills, MA
National Provider Identifier
1508930868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY PARTNERS INC
Practice address
65 Walnut St
Ste 480
Wellesley Hills, MA 02481-2118
Phone
(781) 431-7733
Fax
(781) 235-2665
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rachel Herschenfeld, MDNPI 1548226772
Title
Treasurer
Phone
(781) 431-7733

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
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

65 Walnut St
Ste 480
Wellesley Hills, MA 02481-2118

Mailing address

65 Walnut St
Ste 480
Wellesley Hills, MA 02481-2118
Phone (781) 431-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071017000166 MA Part B Supplier - Clinic/Group Practice 0840386249 Receives reassigned benefits from 7 practitioners
Practice locations: Wellesley Hills, MA

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
22D0690598Dermatology Partners Inc65 Walnut St, Ste 480, Wellesley, MA 02481ComplianceFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

65 Walnut St
Ste 480
Wellesley Hls, MA 02481
Phone (781) 431-7733

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508930868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "STE 480",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-431-7733",
            "fax_number": "781-235-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "STE 480",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-431-7733",
            "fax_number": "781-235-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSCHENFELD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-431-7733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.