Center for Blistering Diseases, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CENTER FOR BLISTERING DISEASES, INC

Practice address

697 Cambridge St
Suite 302
Boston, MA 02135-2897

Phone

(617) 562-1040

Fax

(617) 562-1047

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Abdul Razzaque Ahmed, MD

Title

President

Phone

(617) 562-1040

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Hamrock, M.D.

  • Dermatology Physician
  • Cleveland, OH
  • NPI 1215990288
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1841360716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 CAMBRIDGE ST",
            "address_2": "SUITE 302",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352897",
            "telephone_number": "617-562-1040",
            "fax_number": "617-562-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 CAMBRIDGE ST",
            "address_2": "SUITE 302",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352897",
            "telephone_number": "617-562-1040",
            "fax_number": "617-562-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BLISTERING DISEASES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "RAZZAQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-562-1040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS SECURE HORIZONS",
            "identifier": "690849",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "001620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "CQ80",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH PLAN",
            "identifier": "59699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC FIRST SENIORITY PLAN",
            "identifier": "CQ80",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "3051578",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PALMETO",
            "identifier": "DA7122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RI",
            "identifier": "M17819",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M17819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Maude Cenat, NP
• Matthew Cenci
• Marc Cendron, MD
• Sara Patricia Centeio
• Center for Anxiety and Related Disorders at Boston University
• Center for Computer Assisted and Reconstructive Surgery Inc
• David M. Center, MD
• Justin Centi, MA
• Kathleen Centola, NP
• Central Boston Elder Services, Inc.

• Dermatology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.