Organization Active NPI

South Shore Dermatology Physicians, P.C.

  • Dermatology Physician
  • North Easton, MA
National Provider Identifier
1992988703
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SOUTH SHORE DERMATOLOGY PHYSICIANS, P.C.
Doing business as
South Shore Dermatology Physicians PC
Practice address
31 Roche Bros Way Ste 200
North Easton, MA 02356-1032
Phone
(415) 802-1310
Fax
(508) 535-3377
NPI assigned
Dec 14, 2007
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Sat Nathan
Title
Office Manager
Phone
(415) 802-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

31 Roche Bros Way Ste 200
North Easton, MA 02356-1032

Mailing address

31 Roche Bros Way Ste 200
North Easton, MA 02356-1032
Phone (415) 802-1310

Other names 1

  • SOUTH SHORE DERMATOLOGY PHYSICIANS PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000161 MA Part B Supplier - Clinic/Group Practice 4789767104 Receives reassigned benefits from 16 practitioners
Practice locations: North Easton, MA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1078385South Shore Dermatology Physicians, PC31 Roche Bros Way Suite 200, North Easton, MA 02356ComplianceApr 5, 2027

National Provider Directory

National Provider Directory

Locations

31 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (508) 238-3774

907 Sumner St
Ste 208
Stoughton, MA 02072
Phone (781) 297-8060

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1992988703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY STE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "415-802-1310",
            "fax_number": "508-535-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY STE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "415-802-1310",
            "fax_number": "508-535-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE DERMATOLOGY PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "SAT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-802-1310"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH SHORE DERMATOLOGY PHYSICIANS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.