Individual provider Active NPI

Megan L Bernstein, MD

  • Dermatology Physician
  • North Andover, MA
National Provider Identifier
1578761482
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
233545 Issued in MA
Practice address
401 Andover Street, Suite 101
Northeast Dermatology Associates
North Andover, MA 01845
Phone
(978) 691-5690
Fax
(978) 691-5693
NPI assigned
Jul 3, 2007
Last updated
Sep 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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 233545 MA Primary

Addresses

Primary practice location

401 Andover Street, Suite 101
Northeast Dermatology Associates
North Andover, MA 01845

Mailing address

401 Andover Street, Suite 101
Northeast Dermatology Associates
North Andover, MA 01845
Phone (978) 691-5690

Other identifiers 2

IdentifierTypeStateIssuer
P00867755OtherMAMEDICARE RAILROAD
AA182056OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100923000573 MA Practitioner - Dermatology 9436275807 Reassigns benefits to 1 organization
I20110909002777 NH Practitioner - Dermatology 9436275807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Dermatology Associates PCGroup PAC ID 3072403799, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

23 Hampton Rd
Exeter, NH 03833-4807
Phone (978) 691-5690

538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690

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) excision57
Removal of tissue1-10
Removal of skin lesions1135
Removal or shaving of skin growth15
Skin biopsy203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233545MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC CurrentSince Aug 20, 2010 Accepting new patients
Northeast Dermatology Associates, PC CurrentSince Aug 30, 2011 Accepting new patients
Neda at North Shore PC Dermatology CurrentSince Aug 20, 2010 Accepting new patients
Northeast Dermatology Associates, PC Dermatology Past Accepting new patients
Nedab LLC Dermatology Past Accepting new patients

Locations

62 Brown St
Ste 304C
Haverhill, MA 01830
Phone (603) 552-3309

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

19 Hampton Rd
Exeter, NH 03833
Phone (603) 772-3456

23 Hampton Rd
Exeter, NH 03833
Phone (603) 772-4684

75 Gilcreast Rd
Unit 100
Londonderry, NH 03053

Interoperability endpoints

  • Direct secure messaging: megan.bernstein@pd.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1578761482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ANDOVER STREET, SUITE 101",
            "address_2": "NORTHEAST DERMATOLOGY ASSOCIATES",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-691-5690",
            "fax_number": "978-691-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ANDOVER STREET, SUITE 101",
            "address_2": "NORTHEAST DERMATOLOGY ASSOCIATES",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-691-5690",
            "fax_number": "978-691-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "233545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00867755",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA182056",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.