Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaimie Derosa, MD

Individual provider Facial Plastic Surgery Physician · NPI 1023057031

Jaimie Derosa, MD is a Facial Plastic Surgery Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

91 Newbury St Ste 300
Boston, MA 02116-3084 Not confirmed with CMS for 13 years — call before visiting
Phone: (617) 262-8000
Fax: (617) 262-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 237016 (MA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 237016 (MA)

Record details

NPI number1023057031
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMay 24, 2013

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