OrganizationActive
Id of Plymouth LLC
NPI 1134896467 · Dermatology Physician · Plymouth, MA
Id of Plymouth LLC is a Dermatology Physician organization in Plymouth, MA (NPI 1134896467).
Provider details
- NPI number
- 1134896467
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Haley, Authorized Group Official(561) 314-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 Long Pond Rd Ste 202
Plymouth, MA 02360-2642
Phone: (508) 747-4424
Street-level locationGet directions
Mailing address
4700 Exchange Ct Ste 110
Boca Raton, FL 33431-4450
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Frequently asked questions
- What is Id of Plymouth LLC's NPI number?
- Id of Plymouth LLC's National Provider Identifier (NPI) is 1134896467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Id of Plymouth LLC?
- Id of Plymouth LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Id of Plymouth LLC located?
- Id of Plymouth LLC's practice location on file with NPPES is 110 Long Pond Rd Ste 202, Plymouth, MA 02360-2642.
- What is Id of Plymouth LLC's phone number?
- The practice phone number listed in the NPPES registry for Id of Plymouth LLC is (508) 747-4424.
- Who is the authorized official for Id of Plymouth LLC?
- The authorized official listed on Id of Plymouth LLC's NPPES record is Jennifer Haley, Authorized Group Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Id of Plymouth LLC's NPI active?
- Yes — Id of Plymouth LLC's NPI (1134896467) is active in the NPPES registry as of the last update on 2021-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.