Active NPI
Greater Boston Dermatology PC
- Dermatology Physician
- Framingham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- GREATER BOSTON DERMATOLOGY PC
- Practice address
- 85 Lincoln St
Framingham, MA 01702-8200 - Phone
- (617) 540-5570
- Fax
- (617) 540-5571
- NPI assigned
- Jan 17, 2024
- Last updated
- Jun 23, 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
- Dr. Rebecca Khezri Jacobson, MD
- Title
- Physician Owner
- Phone
- (508) 719-8947
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X |
Addresses
Primary practice location
85 Lincoln St
Framingham, MA 01702-8200
Mailing address
PO Box 600736
Newtonville, MA 02460-0007
Phone (617) 540-5571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
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 |
|---|---|---|---|
| 22D2303675 | Greater Boston Dermatology, PC | Compliance | Jan 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
85 Lincoln St
Ste 510
Framingham, MA 01702
Phone (508) 719-8947
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.
-
- Dermatology Physician
- Framingham, MA
- NPI 1336588136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782172800000",
"number": "1871354803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 600736",
"city": "NEWTONVILLE",
"state": "MA",
"postal_code": "024600007",
"telephone_number": "617-540-5571",
"fax_number": "617-540-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 LINCOLN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028200",
"telephone_number": "617-540-5570",
"fax_number": "617-540-5571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER BOSTON DERMATOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-17",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A",
"authorized_official_last_name": "JACOBSON",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "KHEZRI",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "508-719-8947",
"authorized_official_name_prefix": "Dr.",
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.