Organization Active NPI

Idg of Cape Cod

  • Dermatology Physician
  • Mashpee, MA
National Provider Identifier
1962278523
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
IDG OF CAPE COD
Practice address
800 Falmouth Rd Ste 101B
Mashpee, MA 02649-3303
Phone
(617) 783-7100
Fax
(617) 783-7104
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Mark Amster, MD
Title
Chief Physician
Phone
(617) 721-6552

Specialties & licenses 1

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

Addresses

Primary practice location

800 Falmouth Rd Ste 101B
Mashpee, MA 02649-3303

Mailing address

PO Box 590129
Newton Center, MA 02459-0002
Phone (617) 721-6552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1962278523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590129",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024590002",
            "telephone_number": "617-721-6552",
            "fax_number": "617-783-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FALMOUTH RD STE 101B",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493303",
            "telephone_number": "617-783-7100",
            "fax_number": "617-783-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDG OF CAPE COD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "AMSTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF PHYSICIAN",
        "authorized_official_telephone_number": "617-721-6552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.