Organization Active NPI

Ameripath New York, LLC

Doing business as Dermpath Diagnostics New England

  • Clinical Medical Laboratory
  • Marlborough, MA
National Provider Identifier
1699175760
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AMERIPATH NEW YORK, LLC
Doing business as
Dermpath Diagnostics New England
Practice address
200 Forest St
Suite 3119
Marlborough, MA 01752-3023
Phone
(884) 362-9801
Fax
(774) 843-3737
NPI assigned
Aug 26, 2014
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERIPATH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Dr. Edward Michael Kramer, MD
Title
Vice President
Phone
(610) 550-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MA Primary

Addresses

Primary practice location

200 Forest St
Suite 3119
Marlborough, MA 01752-3023

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (844) 362-9801

Other names 1

  • Dermpath Diagnostics New England Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

200 Forest St
#3119
Marlborough, MA 01752
Phone (844) 362-3558

200 Forest St
Ste 3119
Marlborough, MA 01752
Phone (844) 362-9801

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1699175760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "844-362-9801",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FOREST ST",
            "address_2": "SUITE 3119",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523023",
            "telephone_number": "884-362-9801",
            "fax_number": "774-843-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH NEW YORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH, INC",
        "enumeration_date": "2014-08-26",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-550-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermpath Diagnostics New England",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.