NPIMap

Organization Active NPI

Washington Square Dermatology,LLC

  • Medical Specialty Clinic/Center
  • Brookline, MA
National Provider Identifier
1649564261
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
82037 Issued in MA
Legal business name
WASHINGTON SQUARE DERMATOLOGY,LLC
Practice address
651 Washington St
Suite 110
Brookline, MA 02446-4517
Phone
(617) 734-1707
Fax
(617) 734-1709
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Dr. Dorothy Jean Cunningham, MD
Title
Owner/Dermatologist
Phone
(617) 325-8772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 82037 MA Primary

Addresses

Primary practice location

651 Washington St
Suite 110
Brookline, MA 02446-4517

Mailing address

651 Washington Street
Suite 110
Brookline, MA 02446
Phone (617) 734-1707

Other names 1

  • DOROTHY J CUNNINGHAM, MD, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1649564261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON STREET",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-734-1707",
            "fax_number": "617-734-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON ST",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464517",
            "telephone_number": "617-734-1707",
            "fax_number": "617-734-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON SQUARE DERMATOLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/DERMATOLOGIST",
        "authorized_official_telephone_number": "617-325-8772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "82037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOROTHY J CUNNINGHAM, MD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.