Organization Active NPI

Dermphysicians of New England I LLC

  • Dermatology Physician
  • Burlington, MA
National Provider Identifier
1811460157
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMPHYSICIANS OF NEW ENGLAND I LLC
Practice address
83 Cambridge St Ste 1a
Burlington, MA 01803-4181
Phone
(781) 272-7022
Fax
(781) 272-8786
NPI assigned
Jan 9, 2019
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Dr. Katherine S Masterpol, MEDICAL DOCTORNPI 1154596096
Title
Owner
Phone
(617) 921-2527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

83 Cambridge St Ste 1a
Burlington, MA 01803-4181

Mailing address

83 Cambridge St Ste 1a
Burlington, MA 01803-4181
Phone (781) 272-7022

Other names 1

  • DermPhysicians of New England LLC Other name

National Provider Directory

National Provider Directory

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": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1811460157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST STE 1A",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034181",
            "telephone_number": "781-272-7022",
            "fax_number": "781-272-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST STE 1A",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034181",
            "telephone_number": "781-272-7022",
            "fax_number": "781-272-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMPHYSICIANS OF NEW ENGLAND I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "MASTERPOL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-921-2527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermPhysicians of New England LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.