Organization Active NPI

New Hampshire Derm Clinic, PLLC

  • Family Nurse Practitioner
  • Peterborough, NH
National Provider Identifier
1881042828
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
05812823 Issued in NH
Legal business name
NEW HAMPSHIRE DERM CLINIC, PLLC
Practice address
454 Old Street Rd Ste 202
Peterborough, NH 03458-1200
Phone
(603) 213-0806
Fax
(844) 369-5320
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Authorized official

Name
Brian Peter CromerNPI 1457436362
Title
NP
Phone
(603) 213-0806

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 05812823 NH Primary

Addresses

Primary practice location

454 Old Street Rd Ste 202
Peterborough, NH 03458-1200

Mailing address

454 Old Street Rd Ste 202
Peterborough, NH 03458-1200
Phone (603) 213-0806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160808001051 NH Part B Supplier - Clinic/Group Practice 2769776129 Receives reassigned benefits from 1 practitioner
Practice locations: Peterborough, NH

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.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768694400000",
    "number": "1881042828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD STE 202",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-213-0806",
            "fax_number": "844-369-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD STE 202",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-213-0806",
            "fax_number": "844-369-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAMPSHIRE DERM CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "CROMER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "603-213-0806"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "05812823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.