Individual provider Active NPI

Jennifer Platt Toyohara, M.D.

  • Dermatology Physician
  • Concord, MA
National Provider Identifier
1801054150
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
246861 Issued in MA
Practice address
54 Baker Avenue Ext Ste 305
Concord, MA 01742-2143
Phone
(978) 371-7010
NPI assigned
May 22, 2008
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 246861 MA Primary
Dermatology Physician 207N00000X 245646 NY
Dermatopathology Physician 207ND0900X 246861 MA

Addresses

Primary practice location

54 Baker Avenue Ext Ste 305
Concord, MA 01742-2143

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110729000456 MA Practitioner - DermatologyPractitioner - PathologyPractitioner - Other (Physician) 5991973349 Reassigns benefits to 3 organizations
I20190201000564 NH Practitioner - DermatologyPractitioner - Pathology 5991973349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
University of Missouri, Columbia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult and Pediatric Dermatology PCGroup PAC ID 7012988306, 38 clinicians

Practice addresses (Care Compare)

2 Pillsbury St
Suite 501
Concord, NH 03301-3576
Phone (603) 333-2908

54 Baker Ave Ext
Suite 305
Concord, MA 01742-2143
Phone (978) 371-7010

87 McGregor St
Suite 2100
Manchester, NH 03102-3767
Phone (603) 626-7546

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions119
Skin biopsy25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
245646NYMDDermatology Physician
246861MAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jan 1, 2018 Accepting new patients
Emerson Hospital Current Accepting new patients
Massachusetts General Physicians Organization Inc Dermatology CurrentSince Jan 1, 2018 Accepting new patients
Apderm Massachusetts PC - Pathology Dermatopathology Past Accepting new patients
Apderm Massachusetts PC Dermatology Past Accepting new patients
Apderm North, PC Dermatology Past Accepting new patients
Apderm Path Dermatology Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Interoperability endpoints

  • Direct secure messaging: toyohara.jennifer.epho@direct.partners.masshiway.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1801054150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 305",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422143",
            "telephone_number": "978-371-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOYOHARA",
        "first_name": "JENNIFER",
        "middle_name": "PLATT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "246861",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "245646",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": "246861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.