Jaimie Derosa, MD
Otolaryngology, Facial Plastic Surgery in Boston, Massachusetts
1023057031- Practice location
- 91 Newbury St, Suite 300, Boston, MA 02116-3084
- Phone
- 617-262-8000
- Fax
- 617-262-8002
- Last updated
- May 24, 2013
Jaimie Derosa is an Otolaryngology, Facial Plastic Surgery based in Boston, MA. Jaimie Derosa practices in Boston, MA and has the professional credentials of MD. The NPI Number for Jaimie Derosa is 1023057031 and holds a License No. 237016 (MA). The current practice location address for Jaimie Derosa is 91 Newbury St, Suite 300, Boston, MA 02116-3084 and can be reached out via phone at 617-262-8000 and via fax at 617-262-8002.
Provider Profile Details
- NPI Number
- 1023057031
- Provider Name
- Jaimie Derosa
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 91 Newbury St, Suite 300, Boston, MA 02116-3084
- Phone Number
- 617-262-8000
- Fax Number
- 617-262-8002
- Primary Taxonomy
- Otolaryngology, Facial Plastic Surgery · 207YS0123X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 5, 2006
- Last Update Date
- May 24, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 91 Newbury St
Suite 300
Boston, MA 02116-3084 - City
- Boston
- State
- Massachusetts
- Zip
- 02116-3084
- Phone Number
- 617-262-8000
- Fax Number
- 617-262-8002
Provider Business Mailing Address Details
- Address
- 91 Newbury St
Suite 300
Boston, MA 02116-3084 - City
- Boston
- State
- MA
- Zip
- 02116-3084
- Phone Number
- 617-262-8000
- Fax Number
- 617-262-8002
License Information
- License Number (1)
- 237016
- License State (1)
- MA
- Taxonomy (1)
- Otolaryngology, Facial Plastic Surgery · 207YS0123X · Primary
- License Number (2)
- 237016
- License State (2)
- MA
- Taxonomy (2)
- Otolaryngology · 207Y00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Otolaryngology, Facial Plastic Surgery providers near Boston, MA
View all Otolaryngology, Facial Plastic Surgery providers in Boston →- Boston Center For Facial PlasticsOtolaryngology, Facial Plastic Surgery · NPI 1780336180
- Caroline A Banks, MDOtolaryngology, Facial Plastic Surgery · NPI 1386807766
- Dr. Theresa A Hadlock, MDOtolaryngology, Facial Plastic Surgery · NPI 1578554549
- Hadlock Center For Facial Plastic Surgery PCOtolaryngology, Facial Plastic Surgery · NPI 1104507854
- Ramsey Alsarraf, MDOtolaryngology, Facial Plastic Surgery · NPI 1689611295
Frequently Asked Questions
What is the NPI number of Jaimie Derosa, MD?
The NPI number of Jaimie Derosa, MD is 1023057031. It was assigned on June 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Jaimie Derosa, MD?
Jaimie Derosa, MD is registered under the primary taxonomy Otolaryngology, Facial Plastic Surgery (code 207YS0123X), licensed in MA under license number 237016.
Where does Jaimie Derosa, MD practice?
The practice location is 91 Newbury St, Suite 300, Boston, MA 02116-3084. The office can be reached at 617-262-8000 (phone) or 617-262-8002 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023057031 directly on the NPPES registry website.