Derry Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

14825 Issued in NH

Legal business name

DERRY DERMATOLOGY, PLLC

Practice address

1C Commons Dr Unit 16
Londonderry, NH 03053-3441

Phone

(603) 818-8374

NPI assigned

Jun 5, 2012

Last updated

Aug 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Zabawski, D.O.

Title

Owner

Phone

(603) 818-8374

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Andrea Bourke, RPA-C

  • Medical Physician Assistant
  • Londonderry, NH
  • NPI 1194070466
  NPD
• Nathan K Hand, PA C

  • Medical Physician Assistant
  • Londonderry, NH
  • NPI 1659314961
  NPD
• Robert Delaney Murgia III, D.O.

  • Dermatology Physician
  • Dover, NH
  • NPI 1063804441

  Single Specialty

  NPD

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1699036830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1C COMMONS DR UNIT 16",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533441",
            "telephone_number": "603-818-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1C COMMONS DR UNIT 16",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533441",
            "telephone_number": "603-818-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRY DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "ZABAWSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-818-8374",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "14825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Davis, MA
• Nancy Delew
• Carly Dell'Ova
• Alexandra Gatzoulis Demos, M.S., CCC-SLP
• Charles Demoss
• Matthew T Desena, MD
• Shannon Marie Desilets, P.T.
• Mark Kenneth Detweiler, M.D.
• Gagan Dhaliwal, DMD
• Richard Joseph Dinapoli, ED.D.

• Dermatology Physician in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Dermatology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.