Associates of South Shore Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ASSOCIATES OF SOUTH SHORE DERMATOLOGY

Practice address

5Oo Congress St
2H
Quincy, MA 02169

Phone

(617) 773-7431

Fax

(617) 773-9592

NPI assigned

Jun 25, 2007

Last updated

Nov 7, 2013By 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. Steven Martin Kahn, MDNPI 1720013725

Title

Owner

Phone

(617) 773-7431

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Steven M Kahn, M.D.

  • Procedural Dermatology Physician
  • Quincy, MA
  • NPI 1720013725
  NPD (past) Authorized official
• Antoin Johnsen Deschrijver, PHYSICIAN ASSISTANT

  • Student in an Organized Health Care Education/Training Program
  • Quincy, MA
  • NPI 1730527474
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1942406210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5OO CONGRESS ST",
            "address_2": "2H",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-773-7431",
            "fax_number": "617-773-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5OO CONGRESS ST",
            "address_2": "2H",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-773-7431",
            "fax_number": "617-773-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES OF SOUTH SHORE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-773-7431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashby Behavioral Health, LLC (Spring Hill Recovery Center)
• Julie Ashwill, BA
• Sony Asmath, MBA, ESQ
• Aspire Health Alliance
• Associated Eye Physicians & Surgeons Inc
• Associates of South Shore Dermatology LLC
• At Home Health Care Services, Inc.
• Gabrielle B Atkins
• Atlantis Medical Supply Inc
• Atlantis Medical Supply LLC

• Dermatology Physician in Quincy, MA
• Providers in Quincy, 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 7, 2013; 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.