IndividualActive
Lisa Prussick, MD
NPI 1609434950 · Dermatology Physician · Boston, MA
Lisa Prussick, MD is a Dermatology Physician provider in Boston, MA (NPI 1609434950).
Provider details
- NPI number
- 1609434950
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 280404 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
800 Washington Street
Biewend 14th Floor
Boston, MA 02116
Phone: (617) 636-1576
Approximate (ZIP-level) locationGet directions
Mailing address
800 Washington St
Boston, MA 02111-1552
Additional practice locations (1)
- 2100 Dorchester AveBoston, MA 02124-5615Phone: (617) 506-2726
Registry dates
- Enumerated
- 2019-06-02
- Last updated
- 2023-05-09
- Certified
- 2022-06-17
Frequently asked questions
- What is Lisa Prussick's NPI number?
- Lisa Prussick's National Provider Identifier (NPI) is 1609434950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Prussick's specialty?
- Lisa Prussick is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lisa Prussick located?
- Lisa Prussick's practice location on file with NPPES is 800 Washington Street, Boston, MA 02116.
- What is Lisa Prussick's phone number?
- The practice phone number listed in the NPPES registry for Lisa Prussick is (617) 636-1576.
- Is Lisa Prussick's NPI active?
- Yes — Lisa Prussick's NPI (1609434950) is active in the NPPES registry as of the last update on 2023-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.