PARK DERMATOLOGY ASSOC PC – NPI #1598785016
Dermatology

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Health Care Provider Taxonomy Code for Dermatology

PARK DERMATOLOGY ASSOC PC is a dermatologist located in BROCKTON, MA. NPPES has assigned the NPI number 1598785016 to PARK DERMATOLOGY ASSOC PC on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207NI0002X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Clinical & Laboratory Dermatological Immunology

The NPI profile was previously updated about 18 years ago on Feb 12, 2008. 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 PARK DERMATOLOGY ASSOC PC below.

NPI Profile for
PARK DERMATOLOGY ASSOC PC

NPI Number
1598785016
Enumeration Date

(about 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
PARK DERMATOLOGY ASSOC PC
Primary location
ONE PEARL ST
STE 2300
BROCKTON, MA 02301
Phone: (508) 894-5100 Fax: (508) 894-5111
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAY RITT
PHYSICIAN
Phone: (508) 894-5100
Updated
Identifiers

Identifiers for PARK DERMATOLOGY ASSOC PC

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
MEDICAIDMA9717404
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
207NI0002X
- Dermatology / Clinical & Laboratory Dermatological Immunology (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.