Individual provider Active NPI

Cheryl Belmont Waldman, M.D.

  • Dermatology Physician
  • Nashua, NH
National Provider Identifier
1962447854
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13474 Issued in NH
Practice address
17 Riverside St
Suite 105
Nashua, NH 03062-1304
Phone
(603) 577-5559
Fax
(603) 577-5579
NPI assigned
Jun 17, 2006
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13474 NH Primary

Addresses

Primary practice location

17 Riverside St
Suite 105
Nashua, NH 03062-1304

Mailing address

17 Riverside St
Suite 105
Nashua, NH 03062-1304
Phone (603) 577-5559

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwaldman@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071102000045 NH Practitioner - Dermatology 7113954926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waldman Plastic Surgery and Dermatology, PLLCGroup PAC ID 7618061300, 5 clinicians

Practice addresses (Care Compare)

17 Riverside St
Suite 105
Nashua, NH 03062-1383
Phone (603) 577-5559

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions49
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13474NHMDDermatology Physician
41128TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waldman Plastic Surgery and Dermatology, PLLC Dermatology CurrentSince Oct 1, 2007 Accepting new patients
Dermatology Consultants, PC Past Accepting new patients
Schweiger Dermatology PLLC Dermatology Past Accepting new patients

Locations

17 Riverside St
Ste 105
Nashua, NH 03062
Phone (603) 577-5559

Interoperability endpoints

  • Direct secure messaging: cwaldman@directaddress.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1962447854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST",
            "address_2": "SUITE 105",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621304",
            "telephone_number": "603-577-5559",
            "fax_number": "603-577-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST",
            "address_2": "SUITE 105",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621304",
            "telephone_number": "603-577-5559",
            "fax_number": "603-577-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "CHERYL",
        "middle_name": "BELMONT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "13474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwaldman@directaddress.net",
            "affiliation": "N",
            "address_1": "17 Riverside St",
            "address_2": "Suite 105",
            "city": "Nashua",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030621304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.