Active NPI
New Hampshire Derm Clinic, PLLC
- Family Nurse Practitioner
- Peterborough, NH
National Provider Identifier
1881042828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 05812823
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Peter Cromer
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Peterborough, NH
- NPI 1457436362
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.