DERMATOLOGY - HMFP AT BIDMC – NPI #1043250616
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.

DERMATOLOGY - HMFP AT BIDMC is a dermatologist located in BOSTON, MA. NPPES has assigned the NPI number 1043250616 to DERMATOLOGY - HMFP AT BIDMC on June 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DERMATOLOGY - HMFP AT BIDMC” is a dba name, the actual legal business name for this organization is HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on Nov 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DERMATOLOGY - HMFP AT BIDMC below.

NPI Profile for
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

NPI Number
1043250616
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Doing Business As (dba): DERMATOLOGY - HMFP AT BIDMC
Primary location
330 BROOKLINE AVE
MASCO 3
BOSTON, MA 02215
Phone: (617) 754-0355 Fax: (617) 754-0375
Mailing address
375 LONGWOOD AVE STE 3
BOSTON, MA 02215-5395
Phone: (617) 632-7441 Fax: (617) 632-7570
Organization Subpart
No
Authorized Official
ALEXANDRA KIMBALL
CHIEF EXECUTIVE OFFICER
Phone: (617) 632-7441
Updated
Certification Date
Nov 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DERMATOLOGY - HMFP AT BIDMC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMA9782907
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.