INTEGRATED DERMATOLOGY OF NEWTON WATERTOWN, LLC (NPI# 1356988844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356988844 |
| Entity Type | Organization |
| Organization Name | INTEGRATED DERMATOLOGY OF NEWTON WATERTOWN, LLC |
| Practice Address |
280 Washington St Ste 212 Brighton MA 02135-3511 |
| Mailing Address |
4700 Exchange Ct Ste 110 Boca Raton FL 33431-4450 |
| Practice Telephone | 6177837100 |
| Mailing Telephone | 5613142000 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | ADAM S PLOTKIN (AUTHORIZED GROUP OFFICIAL) |
| Authorized Official Telephone | 5613142000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
280 WASHINGTON ST STE 212 |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1760028872 | Integrated Dermatology of Brighton, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2019-11-24 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1548680218 | Caitlin Flynn Porubsky | Dermatology | 2305 Genoa Business Park Dr Ste 180, Brighton, MI 48114-7007 | 2014-04-22 |
| 1336232198 | Harry S. Lubetsky | Dermatology | 8599 W. Grand River Ave., Brighton, MI 48116-4334 | 2006-10-02 |
| 1669450599 | Claudette T Mcgoey | Dermatology | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2005-12-30 |
| 1760028872 | Integrated Dermatology of Brighton, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2019-11-24 |
| 1659624591 | Dermatology & Phototherapy Center of Brighton, Plc | Dermatology | 2305 Genoa Business Park Dr, Brighton, MI 48114-7004 | 2012-10-16 |
| 1164785259 | Elizabeth Aline Thompson | Dermatology | 7500 Challis Rd, 2nd Floor, Brighton, MI 48116-9416 | 2012-06-22 |
| 1508034232 | Francisca M.s. Kartono Winardi | Dermatology | 2305 Genoa Business Park Dr, Suite180, Brighton, MI 48114-7004 | 2008-02-15 |
| 1265635155 | Jennifer Marie Reiss Gangnier | Dermatology | 2305 Genoa Business Park Dr, Suite 180, Brighton, MI 48114-7004 | 2007-06-07 |
| 1104995133 | Robert Harris Brown | Dermatology | 280 Washington St, Suite 212, Brighton, MA 02135-3511 | 2006-11-06 |
| Find all providers in BRIGHTON | ||||
Please comment or provide details below to improve the information on INTEGRATED DERMATOLOGY OF NEWTON WATERTOWN, LLC.
| 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.