Individual provider Active NPI

Abigail Hart Waldman, MD

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1598054926
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
265614 Issued in MA
Practice address
1153 Centre St
Suite 4J
Boston, MA 02130-3446
Phone
(617) 983-4626
Fax
(617) 983-4504
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 265614 MA
Dermatology Physician 207N00000X 265614 MA Primary
Dermatopathology Physician 207ND0900X 265614 MA

Addresses

Primary practice location

1153 Centre St
Suite 4J
Boston, MA 02130-3446

Mailing address

1153 Centre St
Suite 4J
Boston, MA 02130-3446
Phone (617) 983-4626

Other practice location 1

221 Longwood Ave
Boston, MA 02115-5804
Phone (617) 732-4918

Other practice location 2

50 Staniford St
Boston, MA 02114-2517
Phone (617) 726-2914

Other practice location 3

150 S Huntington Ave
Boston, MA 02130-4817
Phone (857) 364-5908

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
I20160502000799 MA Practitioner - Dermatology 9739488412 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision81
Removal of skin lesions47
Removal of skin cancer807
Removal of nail tissue1-10
Skin biopsy133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265614MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Oct 21, 2017 Accepting new patients
Brigham & Womens Physicians Organization Inc Dermatology CurrentSince Mar 18, 2016 Accepting new patients
Massachusetts General Physicians Organization Inc Dermatology CurrentSince Apr 16, 2026 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Oct 21, 2017 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
Brigham & Womens Hospital, Inc. PastSince Jul 1, 2021 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

50 Staniford St
Boston, MA 02114
Phone (617) 723-2015

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

75 Francis St
Boston, MA 02115

221 Longwood Ave
Boston, MA 02115
Phone (617) 732-4918

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

1153 Centre St
Ste 4J
Jamaica Plain, MA 02130
Phone (617) 983-4626

1153 Centre St
Ste 4349
Jamaica Plain, MA 02130
Phone (617) 983-4626

1153 Centre St
#L1
Jamaica Plain, MA 02130

Interoperability endpoints

  • Direct secure messaging: waldman.abigail.dfci@direct.partners.masshiway.net

Organizations & group practices 8

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 6

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1598054926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "SUITE 4J",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-4626",
            "fax_number": "617-983-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "SUITE 4J",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-4626",
            "fax_number": "617-983-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155804",
            "country_code": "US",
            "telephone_number": "617-732-4918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Staniford St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142517",
            "country_code": "US",
            "telephone_number": "617-726-2914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Huntington Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021304817",
            "country_code": "US",
            "telephone_number": "857-364-5908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "ABIGAIL",
        "middle_name": "HART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "265614",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "265614",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": "265614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.