Dartmouth Dermatology Associates, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DARTMOUTH DERMATOLOGY ASSOCIATES, PC

Practice address

368 Faunce Corner Rd
Suite 2
Dartmouth, MA 02747-1257

Phone

(508) 985-5285

Fax

(508) 998-5781

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul E Snyder, MDNPI 1477551398

Title

President

Phone

(508) 985-5285

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Paul E Snyder, MD

  • Dermatology Physician
  • Dartmouth, MA
  • NPI 1477551398
  Medicare reassignment Care Compare group NPD Authorized official
• Katayun S Adhami, M.D.

  • MOHS-Micrographic Surgery Physician
  • Boston, MA
  • NPI 1679867766
  Medicare reassignment Care Compare group NPD
• Justin Michael Besen, MD

  • Dermatology Physician
  • Dartmouth, MA
  • NPI 1821475542
  Medicare reassignment Care Compare group NPD
• Alyssa Coogan, DCNP

  • Nurse Practitioner
  • Dartmouth, MA
  • NPI 1801302765
  Medicare reassignment Care Compare group NPD
• Cynthia M. Paradise, NP

  • Nurse Practitioner
  • Dartmouth, MA
  • NPI 1861490708
  Medicare reassignment Care Compare group NPD
• Susan M Bordonaro, DCNP

  • Nurse Practitioner
  • Middletown, RI
  • NPI 1366547358

  MA

  Medicare reassignment Care Compare group NPD
• Taylor Kue, PA

  • Physician Assistant
  • Providence, RI
  • NPI 1326751348

  MA

  Medicare reassignment Care Compare group NPD
• Margaret Mary Frates, PA

  • Physician Assistant
  • North Dartmouth, MA
  • NPI 1518462068
  Medicare reassignment Care Compare group
• Daniel Michael Leary, PA-C

  • Physician Assistant
  • Springfield, MA
  • NPI 1740748235
  Medicare reassignment Care Compare group
• Rebecca Khezri Jacobson, MD

  • Dermatology Physician
  • Framingham, MA
  • NPI 1336588136
  Medicare reassignment NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942360003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 FAUNCE CORNER RD",
            "address_2": "SUITE 2",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471257",
            "telephone_number": "508-985-5285",
            "fax_number": "508-998-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 FAUNCE CORNER RD",
            "address_2": "SUITE 2",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471257",
            "telephone_number": "508-985-5285",
            "fax_number": "508-998-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARTMOUTH DERMATOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-985-5285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9752382",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crua Nutrition LLC
• Juan E Cuebas, MD
• Lucyna Zofia Czarnota-Dolliver, M.D.
• D & G Associates,Inc.
• Jessica Da Silva
• Dartmouth Elderly Services/Dartmouth Social Services (New England Diagnostic and Learning Center)
• Dartmouth Medical Equipment, Inc.
• Diane Dasilva, OTR/L, CHT, CLT
• Gail Davidson, M.D.
• Paula M De Cruz, EDUACATOR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.