NPIMap

Organization Active NPI

Nantucket Dermatology, LLC

  • Dermatology Physician
  • Nantucket, MA
National Provider Identifier
1689944811
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NANTUCKET DERMATOLOGY, LLC
Practice address
4.5 Bartlett Rd
Nantucket, MA 02554
Phone
(781) 398-2225
Fax
(781) 398-2221
NPI assigned
Jan 4, 2012
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Abrar A Qureshi, MD, MPHNPI 1720044134
Title
Director
Phone
(781) 398-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU
Dermatology Physician 207N00000X NU Primary
MOHS-Micrographic Surgery Physician 207ND0101X NU
Dermatopathology Physician 207ND0900X NU
Gastroenterology Physician 207RG0100X NU
Pulmonary Disease Physician 207RP1001X NU
Rheumatology Physician 207RR0500X NU

Addresses

Primary practice location

4.5 Bartlett Rd
Nantucket, MA 02554

Mailing address

5 Federal St Unit 1881
Nantucket, MA 02554-1703
Phone (781) 398-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120326000691 MA Part B Supplier - Clinic/Group Practice 7719147917 Receives reassigned benefits from 13 practitioners
Practice locations: Nantucket, MA

National Provider Directory

National Provider Directory

Locations

5 Federal St
Unit 1881
Nantucket, MA 02554

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEBBD

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1689944811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FEDERAL ST UNIT 1881",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025541703",
            "telephone_number": "781-398-2225",
            "fax_number": "781-398-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4.5 BARTLETT RD",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "02554",
            "telephone_number": "781-398-2225",
            "fax_number": "781-398-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTUCKET DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "ABRAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-398-2225",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.