Andover Dermatology, PC
NPI 1629293485 · Dermatology Physician · Andover, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andover Dermatology, PC is a Dermatology Physician organization in Andover, MA (NPI 1629293485).
Provider details
- NPI number
- 1629293485
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christine Andersen, President(978) 475-4322
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2018-07-09
Frequently asked questions
- What is Andover Dermatology, PC's NPI number?
- Andover Dermatology, PC's National Provider Identifier (NPI) is 1629293485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andover Dermatology, PC?
- Andover Dermatology, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Andover Dermatology, PC located?
- Andover Dermatology, PC's practice location on file with NPPES is 138 Haverhill St, Andover, MA 01810.
- What is Andover Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Andover Dermatology, PC is (978) 475-4322.
- Does Andover Dermatology, PC accept Medicare?
- Andover Dermatology, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Andover Dermatology, PC?
- The authorized official listed on Andover Dermatology, PC's NPPES record is Christine Andersen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andover Dermatology, PC's NPI active?
- Yes — Andover Dermatology, PC's NPI (1629293485) is active in the NPPES registry as of the last update on 2018-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.