BROOKLINE DERM LLC (NPI# 1962880153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962880153 |
Entity Type | Organization |
Organization Name | BROOKLINE DERM LLC |
Practice Address |
235 Cypress St Suite 200 Brookline MA 02445-6776 |
Practice Telephone | 6172770800 |
Practice Fax Number | 6172770899 |
Mailing Telephone | 6172770800 |
Mailing Fax Number | 6172770899 |
Enumeration Date | 2015-05-08 |
Last Update Date | 2015-05-08 |
Authorized Official Name | DR. BRIAN LESTER (CEO) |
Authorized Official Telephone | 6172770800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 223638 | MA | Allopathic & Osteopathic Physicians |
Street Address |
235 CYPRESS ST SUITE 200 |
City | BROOKLINE |
State | MA |
Zip Code | 02445-6776 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053300145 | Donald Jay Morris | Plastic Surgery | 235 Cypress St, Suite 210, Brookline, MA 02445-6776 | 2005-10-20 |
1457892929 | Gabriella Shifra Greif | Physical Therapist | 235 Cypress St, Ste 110, Brookline, MA 02445-6776 | 2017-03-16 |
1457805483 | Cherie Stankus | Physical Therapist | 235 Cypress St, Suite 110, Brookline, MA 02445-6776 | 2016-08-08 |
1861946121 | Christian Reyes | Physical Therapist | 235 Cypress St, Suite 115, Brookline, MA 02445-6776 | 2016-08-04 |
1447647284 | Victoria Rose Patterson | Clinic/Center | 235 Cypress St, Suite 110, Brookline, MA 02445-6776 | 2015-04-20 |
1003209883 | Kendra Read | Plastic Surgery | 235 Cypress St, Brookline, MA 02445-6776 | 2015-03-18 |
1811399025 | Brookline Dermatology Associates, PC | Dermatology | 235 Cypress St, Suite 200, Brookline, MA 02445-6776 | 2014-09-18 |
1699176230 | Brian Davis | Physical Therapist | 235 Cypress St, Suite 110, Brookline, MA 02445-6776 | 2014-09-15 |
1750702114 | Deanna Santanello | Physical Therapist | 235 Cypress St, Suite 110, Brookline, MA 02445-6776 | 2014-01-02 |
1679813950 | Boston Post Adoption Resources, Inc. | Community/Behavioral Health | 235 Cypress St, Brookline, MA 02445-6776 | 2013-02-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
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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 |
---|---|---|---|---|
1447679436 | Miaoyuan May Wang | Dermatology | 1101 Beacon St Ste 1e, Brookline, MA 02446-5587 | 2014-04-07 |
1093900854 | Brookline Dermatology Associates, PC | Dermatology | 235 Cypress St Ste 200, Brookline, MA 02445-6777 | 2007-09-13 |
1437258928 | Dorothy J. Cunningham | Dermatology | 651 Washington St, Suite 110, Brookline, MA 02446-4517 | 2006-09-21 |
1679549372 | David J Taub | Dermatology | 1265 Beacon St, Apt 704, Brookline, MA 02446-5200 | 2006-02-23 |
1508857848 | Brian W Lester | Dermatology | 235 Cypress Streeet, Suite 200, Brookline, MA 02445 | 2005-11-04 |
1821618109 | Skin Center Boston, Pllc | Dermatology | 256 Washington St, Brookline, MA 02445-6850 | 2020-04-16 |
1104389154 | Integrated Dermatology of Brookline, LLC | Dermatology | 1101 Beacon St Ste 1e, Brookline, MA 02446-5587 | 2019-04-08 |
1548746092 | Neda Brookline LLC | Dermatology | 235 Cypress St Ste 200, Brookline, MA 02445-6777 | 2018-07-18 |
1407246499 | Vladyslava Doktor | Dermatology | 256 Washington St, Brookline, MA 02445-6850 | 2015-01-28 |
1609129956 | Brookline Dermatology LLC | Dermatology | 235 Cypress St, Suite 200, Brookline, MA 02445-6776 | 2012-10-24 |
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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.