NPIMap

Organization Active NPI

Skincare Physicians St Elizabeths Inc

  • Dermatology Physician
  • Chestnut Hill, MA
National Provider Identifier
1639499676
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKINCARE PHYSICIANS ST ELIZABETHS INC
Practice address
1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2116
Phone
(617) 731-1600
Fax
(617) 731-1601
NPI assigned
Jun 1, 2010
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Miss Bernadette Kilawee
Title
Billing Director
Phone
(617) 848-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2116

Mailing address

1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2116
Phone (617) 731-1600

Other names 1

  • Skincarephysicians Other name

National Provider Directory

National Provider Directory

Locations

1244 Boylston St
Ste 102
Chestnut Hill, MA 02467
Phone (617) 731-8100

1244 Boylston St
Ste 103
Chestnut Hill, MA 02467
Phone (617) 731-1600

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1639499676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 103",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-731-1600",
            "fax_number": "617-731-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 103",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-731-1600",
            "fax_number": "617-731-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINCARE PHYSICIANS ST ELIZABETHS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "KILAWEE",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "617-848-1611",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skincarephysicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.