Vivaskin Dermatology Surgery Center, PLLC
NPI 1417764523ActiveOrganization· Dermatology· Wellesley, MA
Dermatology in Wellesley, Massachusetts, registered in NPPES in December 2024, part of Vivaskin Dermatology and Aesthetics. The authorized official on file is Hyemin Pomerantz, MD, Medical Director.
Overview
| NPI | 1417764523 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vivaskin Dermatology and Aesthetics |
| NPI issued | Dec 12, 2024 |
| Last updated in NPPES | Dec 12, 2024 |
| Certified by provider | Dec 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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