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Id of Quincy LLC

Dermatology Physician in Quincy, MA · enumerated 2021 · authorized official Jennifer Haley, Authorized Group Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053088377

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Registry record

Entity type Organization (Type 2)
Legal business name Id of Quincy LLC
Practice address 104 Quarry St Ste 2, Quincy, MA, 02169
Phone (617) 472-6764
Fax (617) 770-9933
Enumeration date Aug 25, 2021
Last updated in NPPES Jan 27, 2026

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Haley
Title Authorized Group Official
Phone (561) 314-2000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-27. Verify at npiregistry.cms.hhs.gov.
Where is Id of Quincy LLC located?
The practice location on file with NPPES is in Quincy, MA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-27.