Dermatology of the Berkshires, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

154221 Issued in MA

Legal business name

DERMATOLOGY OF THE BERKSHIRES, P.C.

Practice address

77 Hospital Ave Ste 200
North Adams, MA 01247-2538

Phone

(413) 663-6769

Fax

(413) 663-6421

NPI assigned

Jun 17, 2006

Last updated

Oct 14, 2022By 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

Victoria Cavalli, M.D.NPI 1033177050

Title

Owner

Phone

(413) 663-6769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Victoria R Cavalli, M.D.

  • Dermatology Physician
  • North Adams, MA
  • NPI 1033177050
  Medicare reassignment Care Compare group NPD Authorized official
• Kacie Arsenault, PA-C

  • Physician Assistant
  • North Adams, MA
  • NPI 1881040590
  Medicare reassignment Care Compare group
• Jonna L. Racela, PA-C

  • Physician Assistant
  • North Adams, MA
  • NPI 1013995869
  Medicare reassignment Care Compare group
• Paul Donovan, D.O.

  • Emergency Medicine Physician
  • North Adams, MA
  • NPI 1952351744
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1700821527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE STE 200",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472538",
            "telephone_number": "413-663-6769",
            "fax_number": "413-663-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE STE 200",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472538",
            "telephone_number": "413-663-6769",
            "fax_number": "413-663-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY OF THE BERKSHIRES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "CAVALLI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-663-6769",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "154221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Davis
• Stephanie Marie Davis, MS PT
• Amy Marie Deacon, RD
• Dallas Deblois, MS, OTR/L
• Jennifer Degrenier, D.O.
• Manojkumar Madhukant Desai
• Donald H. Mead, D.D.S.
• Paul Donovan, D.O.
• Ariel Dunn-Evanczuk, PHARMD
• Paula J Dunn, PA

• Dermatology Physician in North Adams, MA
• Providers in North Adams, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.