Active NPI
Optima Dermatology Ma1 PLLC
- Dermatology Physician
- Newburyport, MA
National Provider Identifier
1750201299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- OPTIMA DERMATOLOGY MA1 PLLC
- Practice address
- 3 Cherry St Ste 100
Newburyport, MA 01950-3973 - Phone
- (855) 277-9689
- NPI assigned
- Jul 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Bernat, MD
- Title
- Authorized Official
- Phone
- (330) 965-8760
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Dermatopathology Physician | 207ND0900X | |||
| Anatomic Pathology Physician | 207ZP0101X |
Addresses
Primary practice location
3 Cherry St Ste 100
Newburyport, MA 01950-3973
Mailing address
111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Other practice location 1
111 New Hampshire Ave Ste 3
Portsmouth, NH 03801-2864
Phone (603) 988-0951
Other practice location 2
23 Portsmouth Ave
Stratham, NH 03885-2520
Phone (603) 942-2171
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D2247185 | Optima Dermatology | Compliance | Mar 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
3 Cherry St
Ste 100
Newburyport, MA 01950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1750201299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NEW HAMPSHIRE AVE STE 2",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038012864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CHERRY ST STE 100",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503973",
"telephone_number": "855-277-9689"
}
],
"practiceLocations": [
{
"address_1": "111 New Hampshire Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038012864",
"country_code": "US",
"telephone_number": "603-988-0951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23 Portsmouth Ave",
"address_purpose": "LOCATION",
"city": "Stratham",
"state": "NH",
"postal_code": "038852520",
"country_code": "US",
"telephone_number": "603-942-2171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OPTIMA DERMATOLOGY MA1 PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-16",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "BERNAT",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "330-965-8760",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.