JAIMIE DEROSA (NPI# 1023057031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023057031 |
| Entity Type | Individual |
| Full Name | JAIMIE DEROSA |
| Credential | M.D. |
| Practice Address |
91 Newbury St Suite 300 Boston MA 02116-3084 |
| Practice Telephone | 6172628000 |
| Practice Fax Number | 6172628002 |
| Mailing Telephone | 6172628000 |
| Mailing Fax Number | 6172628002 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 237016 | MA | Allopathic & Osteopathic Physicians |
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
237016 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
91 NEWBURY ST SUITE 300 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164867479 | Derosa Facial Plastic Surgery PC | Otolaryngology | 91 Newbury St, Suite 300, Boston, MA 02116-3084 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689611295 | Ramsey Alsarraf | Otolaryngology | 69 Newbury St, The Newbury Center, Boston, MA 02116-3063 | 2006-06-01 |
| 1750790663 | Nathan Jowett | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2014-08-05 |
| 1225002488 | Robin W. Lindsay | Otolaryngology | 243 Charles St, Department of Otolaryngology, Boston, MA 02114-3002 | 2006-02-15 |
| 1922099027 | Richard E. Gliklich | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-10-31 |
| 1578554549 | Theresa A. Hadlock | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316006869 | Min S. Ahn, Md PC | Otolaryngology | 2 Connector Rd, Westborough, MA 01581-3969 | 2006-12-08 |
| 1285666719 | Frank P Fechner | Otolaryngology | 428 Shrewsbury St, Worcester, MA 01604-1661 | 2006-07-07 |
| 1922076421 | Roger Allen Allcroft | Otolaryngology | 163 Conz St, Northampton, MA 01060-3848 | 2006-03-09 |
| 1689668915 | Central Ear Nose & Throat Assoc PC | Otolaryngology | 295 Lincoln St, Suite 101, Worcester, MA 01605-3639 | 2005-09-01 |
| 1134526429 | North Shore Ear, Nose & Throat | Otolaryngology | 104 Endicott St, Suire 100, Danvers, MA 01923-3623 | 2014-12-02 |
| 1356682033 | Ent Surgery Associates, LLC | Otolaryngology | 725 Concord Ave, 2300, Cambridge, MA 02138-1040 | 2013-03-06 |
| 1376888255 | Bethany J. King, Md, LLC | Otolaryngology | 61 Locust St, Ste. 2, Northampton, MA 01060-2546 | 2012-12-04 |
| 1659608180 | Bentkover Facial Plastic Surgery & Laser Center | Otolaryngology | 92 Montvale Ave., Suite 3000, Stoneham, MA 02180 | 2009-11-04 |
| 1487717310 | Usama Sami Hamdan | Otolaryngology | 28 Martingale Ln, Westwood, MA 02090-2900 | 2006-12-19 |
| 1649345711 | Northeast Ent | Otolaryngology | 299 Faunce Corner Rd, N. Dartmouth, MA 02747 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.