STEPHEN OTTO KOVACS (NPI# 1033452917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033452917 |
| Entity Type | Organization |
| Organization Name | STEPHEN OTTO KOVACS |
| Other Organization Name | STEPHEN O KOVACS, MD |
| Practice Address |
77 Warren St Ste 353 Brighton MA 02135-3601 |
| Practice Telephone | 6177870400 |
| Practice Fax Number | 6175000976 |
| Mailing Telephone | 6177870400 |
| Mailing Fax Number | 6175000976 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | STEPHEN OTTO KOVACS (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6177870400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
208808 | MA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| STEPHEN O KOVACS, MD | Other Name - Individual/Organization |
| Street Address |
77 WARREN ST STE 353 |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131194 | Roger F Cohen | Clinical Neuropsychologist | 77 Warren St, Suite 453, Brighton, MA 02135-3601 | 2005-08-11 |
| 1699383489 | Rhianna Candido | Registered Nurse | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-17 |
| 1770101586 | Jennie Vaughan Hollyday | Peer Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-08 |
| 1922620863 | Jonathan Kolodziej | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2020-05-14 |
| 1114401098 | Hayley Youngstrom | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1548744436 | Kelsey Elizabeth Connolly | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1629551585 | Caitlyn Burns | Counselor | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-07 |
| 1790294981 | Evan Moran Queenan | Counselor | 77 Warren St, Brighton, MA 02135 | 2017-09-20 |
| 1609395615 | Hannah Goehner | Student in an Organized Health Care Education/Training Program | 77 Warren St, Brighton, MA 02135-3601 | 2017-09-12 |
| 1669990727 | Yasmin A Santos | Registered Nurse | 77 Warren St, Brighton, MA 02135 | 2017-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014006 | Stephen O. Kovacs | Dermatology | 77 Warren St., Suite 302, Brighton, MA 02135-3514 | 2005-09-26 |
| 1396926614 | Stephen O. Kovacs Md PC | Dermatology | 77 Warren St, Suite# 353, Brighton, MA 02135 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176277 | Dennis A Porto Md PC | Dermatology | 1 Maple St Ste 2, Milford, MA 01757-5614 | 2020-08-24 |
| 1619295847 | Lara Kathryn Butler | Dermatology | One Scobee Circle, Unit 3, South Shore Skin Center, Plymouth, MA 02360 | 2010-05-12 |
| 1407905961 | Greater Metrowest Dermsurgeons, LLC | Dermatology | 57 Providence Hwy, Norwood, MA 02062 | 2007-01-10 |
| 1295841138 | Steven J Garrett | Dermatology | Mashpee Health Center, 5 Industrial Dr, Suite 109, Mashpee, MA 02649 | 2006-08-22 |
| 1477572816 | Marina Kuperman-beade | Dermatology | 1030 President Ave Ste 306, Fall River, MA 02720-5923 | 2006-07-18 |
| 1932186772 | Benjamin Arthur Solky | Dermatology | 160 Saint Botolph St, Boston, MA 02115-5119 | 2005-12-22 |
| 1518958297 | Christine M Hayes | Dermatology | 33 Village Sq, Chelmsford, MA 01824-2712 | 2005-11-02 |
| 1518958289 | Niels C. Krejci | Dermatology | 128 Carnegie Row, Norwood, MA 02062-5010 | 2005-11-02 |
| 1851860605 | Nesc - Win-lah, LLC | Dermatology | 27 Village Square, Chelmsford, MA 01824 | 2018-11-21 |
| 1912454745 | Steven P.smith, Md | Dermatology | 332 Washington St, Suite# 355, Wellesley Hills, MA 02481-6219 | 2016-09-09 |
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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.