Dermatology Associates of Concord Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF CONCORD INC

Practice address

290 Baker Ave
Concord, MA 01742-2189

Phone

(978) 369-9023

Fax

(978) 371-9675

NPI assigned

Sep 20, 2006

Last updated

Sep 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terry P Hadley, M.D.NPI 1043287113

Title

President

Phone

(978) 369-9023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Nasrin Alavian, M.D.

  • Dermatology Physician
  • Worcester, MA
  • NPI 1356376461
  Medicare reassignment Care Compare group NPD
• Kathryn E Bowers, MD

  • Dermatology Physician
  • Concord, MA
  • NPI 1730157090
  Medicare reassignment Care Compare group NPD
• Adam Brys, MD

  • Dermatology Physician
  • Concord, MA
  • NPI 1538521711
  Medicare reassignment Care Compare group NPD
• Eileen M Deignan, MD

  • Dermatology Physician
  • Concord, MA
  • NPI 1497723852
  Medicare reassignment Care Compare group NPD
• Julie Arline Fenner, M.D

  • Dermatology Physician
  • Stoneham, MA
  • NPI 1558537894
  Medicare reassignment Care Compare group NPD
• Cheryl Gray, MD

  • Dermatology Physician
  • Wellesley, MA
  • NPI 1316105943
  Medicare reassignment Care Compare group NPD
• Alexis C Perkins, MD

  • Dermatology Physician
  • Concord, MA
  • NPI 1659547727
  Medicare reassignment Care Compare group NPD
• Adriano Piris, M.D.

  • Dermatopathology (Pathology) Physician
  • Needham, MA
  • NPI 1831293703
  Medicare reassignment Care Compare group NPD
• Susan M Sweeney, M.D.

  • Dermatology Physician
  • Canton, MA
  • NPI 1033192976
  Medicare reassignment Care Compare group NPD
• Sally Tan Renehan, MD, MPH

  • Student in an Organized Health Care Education/Training Program
  • Concord, MA
  • NPI 1316437783
  Medicare reassignment Care Compare group NPD
• Matthew T Zipoli, MD

  • MOHS-Micrographic Surgery Physician
  • Concord, MA
  • NPI 1093784159

  Dermatology

  Medicare reassignment Care Compare group NPD
• Lauren Alberta-Wszolek, M.D.

  • Dermatology Physician
  • Bellaire, TX
  • NPI 1356490163

  MA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1508964230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-9023",
            "fax_number": "978-371-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-9023",
            "fax_number": "978-371-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF CONCORD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-369-9023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Deluca, M.D.
• Dennis P. Berk, M.D., P.C.
• Dentai Smile PLLC
• Desmen Depaulis, LCSW
• Emily J Deringer, MD
• Jennifer I Desaulniers, PSY.D.
• Andrea Desharone, LMHC
• Jeff C Desjarlais
• Daniel Devoe
• Jordan Lynne Dewhurst, FNP-C

• Dermatology Physician in Concord, MA
• Providers in Concord, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.