NPIMap

Organization Active NPI

Piction Health Medical Group of Massachusetts, P.C.

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1962180307
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PICTION HEALTH MEDICAL GROUP OF MASSACHUSETTS, P.C.
Practice address
55 Court St FL 2
Boston, MA 02108-2111
Phone
(617) 902-0443
Fax
(877) 395-2501
NPI assigned
Jul 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Susan Conover
Title
Ceo
Phone
(617) 902-0443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

55 Court St FL 2
Boston, MA 02108-2111

Mailing address

55 Court St FL 2
Boston, MA 02108-2111
Phone (617) 902-0443

National Provider Directory

National Provider Directory

Locations

175 Capital Blvd
Ste 400
Rocky Hill, CT 06067
Phone (617) 902-0443

Practitioners & affiliated clinicians

Practitioners 6

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": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1962180307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COURT ST FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082111",
            "telephone_number": "617-902-0443",
            "fax_number": "877-395-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COURT ST FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082111",
            "telephone_number": "617-902-0443",
            "fax_number": "877-395-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICTION HEALTH MEDICAL GROUP OF MASSACHUSETTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-902-0443"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.