Derosa Facial Plastic Surgery PC
NPI 1164867479 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Boston, MA
Derosa Facial Plastic Surgery PC is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician organization in Boston, MA (NPI 1164867479).
Provider details
- NPI number
- 1164867479
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaimie Derosa, President(617) 262-8000
- License
- 237016 (MA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 237016 (MA)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Other names (DBA / former)
- Doing business as
- Derosa Clinic
Registry dates
- Enumerated
- 2013-05-01
- Last updated
- 2014-10-15
Frequently asked questions
- What is Derosa Facial Plastic Surgery PC's NPI number?
- Derosa Facial Plastic Surgery PC's National Provider Identifier (NPI) is 1164867479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derosa Facial Plastic Surgery PC?
- Derosa Facial Plastic Surgery PC is classified in the NPPES registry as Plastic Surgery within the Head & Neck (Otolaryngology) Physician (Allopathic & Osteopathic Physicians).
- Where is Derosa Facial Plastic Surgery PC located?
- Derosa Facial Plastic Surgery PC's practice location on file with NPPES is 91 Newbury St, Boston, MA 02116-3084.
- What is Derosa Facial Plastic Surgery PC's phone number?
- The practice phone number listed in the NPPES registry for Derosa Facial Plastic Surgery PC is (617) 262-8000.
- Who is the authorized official for Derosa Facial Plastic Surgery PC?
- The authorized official listed on Derosa Facial Plastic Surgery PC's NPPES record is Jaimie Derosa, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derosa Facial Plastic Surgery PC's NPI active?
- Yes — Derosa Facial Plastic Surgery PC's NPI (1164867479) is active in the NPPES registry as of the last update on 2014-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.