Individual provider Active NPI

Gayin Lee, MD

  • Dermatology Physician
  • Beverly, MA
National Provider Identifier
1659952869
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1025922 Issued in MA
Practice address
900 Cummings Ctr Ste 311T
Beverly, MA 01915-6260
Phone
(978) 225-3376
Fax
(978) 560-1245
NPI assigned
Apr 19, 2021
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 1025922 MA Primary

Addresses

Primary practice location

900 Cummings Ctr Ste 311T
Beverly, MA 01915-6260

Mailing address

900 Cummings Ctr Ste 311T
Beverly, MA 01915-6260
Phone (978) 225-3376

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address derm@mda.emadirect.md Direct

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
I20260303002927 MA Practitioner - Dermatology 9537545702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Rochester School of Medicine and Dentistry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

50 Walker Rd
Manchester, MA 01944-1033

900 Cummings Ctr
Suite 311T
Beverly, MA 01915-6103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1025922MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massderm Billing PC Dermatology CurrentSince Feb 24, 2026 Accepting new patients
Massachusetts Dermatology Associates, P.C. Dermatology CurrentSince Feb 24, 2026 Accepting new patients

Locations

900 Cummings Ctr
Ste 311T
Beverly, MA 01915
Phone (978) 225-3376

Organizations & group practices 2

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1659952869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 311T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156260",
            "telephone_number": "978-225-3376",
            "fax_number": "978-560-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 311T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156260",
            "telephone_number": "978-225-3376",
            "fax_number": "978-560-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GAYIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1025922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derm@mda.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Secure direct mail to MD at Massachusetts Dermatology Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 Cummings Ctr Ste 311T",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019156260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.