DR. PETER JOSEPH KRUY (NPI# 1932392495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932392495 |
Entity Type | Individual |
Full Name | DR. PETER JOSEPH KRUY |
Credential | M.D. |
Practice Address |
411 Waverley Oaks Rd Suite 133 Waltham MA 02452-8448 |
Mailing Address |
3 Crown Point Rd Sudbury MA 01776-1609 |
Practice Telephone | 7818997546 |
Practice Fax Number | 7818999922 |
Mailing Telephone | 9784431409 |
Mailing Fax Number | 7818999922 |
Enumeration Date | 2007-08-19 |
Last Update Date | 2007-08-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 72084 | MA | Allopathic & Osteopathic Physicians |
Street Address |
411 WAVERLEY OAKS RD SUITE 133 |
City | WALTHAM |
State | MA |
Zip Code | 02452-8448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417996224 | Richard L Beckman | Ophthalmology | 411 Waverley Oaks Rd, Suite 229, Waltham, MA 02452-8448 | 2006-06-06 |
1881004612 | Sheryl Wexler | Speech-Language Pathologist | 411 Waverley Oaks Rd, Bldg. 3, Suite 305, Waltham, MA 02452-8448 | 2014-05-01 |
1134550460 | Anna Levin | Speech-Language Pathologist | 411 Waverley Oaks Rd, Bldg. 3, Suite 305, Waltham, MA 02452-8448 | 2013-12-12 |
1134569304 | Susan Wolk Lerner | Nurse Practitioner | 411 Waverley Oaks Rd, Department of Developmental Services, Waltham, MA 02452-8448 | 2013-07-02 |
1649615725 | Brittany Bedard | Speech-Language Pathologist | 411 Waverley Oaks Rd, Building #3, Suite 305, Waltham, MA 02452-8448 | 2013-05-02 |
1194072785 | Laura Brown | Speech-Language Pathologist | 411 Waverley Oaks Rd, Building #3, Suite 305, Waltham, MA 02452-8448 | 2012-08-14 |
1598024366 | Eva Richardson | Speech-Language Pathologist | 411 Waverley Oaks Rd, Bldg. 3, Suite 305 Thomcharlesriver Earlyintervention, Waltham, MA 02452 | 2012-05-14 |
1750658787 | Ann Elizabeth Smith | Speech-Language Pathologist | 411 Waverley Oaks Rd, Bldg. 3, Suite 305, Waltham, MA 02452-8448 | 2011-11-18 |
1194022129 | Amy Katherine Ebersole | Speech-Language Pathologist | 411 Waverley Oaks Rd, Suite 305, Waltham, MA 02452-8448 | 2011-02-28 |
1194027631 | Kristen Harrington | Speech-Language Pathologist | 411 Waverley Oaks Rd, Bldg #3, Suite 305, Waltham, MA 02452-8448 | 2010-12-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
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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 |
---|---|---|---|---|
1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
1619942661 | Arthur King-fan Tong | Dermatology | 40 Second Ave, Mass General West, Waltham, MA 02451 | 2006-02-22 |
1013990621 | Saul S Markowitz | Dermatology | 20 Hope Ave, Ste 105, Waltham, MA 02453-2721 | 2005-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
1902329832 | Abeer Alsarheed | Dermatology | 30 Dalton St Apt 1510, Boston, MA 02115-3178 | 2017-07-23 |
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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.