| NPI | 1285614834 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-01-19 |
| Last Updated | 2024-10-28 |
| Authorized Official | Samuel Goos Managing Partner Phone: 9783717010 |
| Mailing Address | 526 Main St Ste 302 Acton, MA 01720-3301 United States Phone: (978) 371-7010 | Fax: (978) 371-0522 📍 View Map |
| Primary Practice Address | 54 Baker Avenue Ext Ste 305&306 Concord, MA 01742-2137 United States Phone: (978) 371-7010 | Fax: (978) 371-0522 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | MA | 607334 | Tufts Health Plan Group # |
| Other (non-Medicare) | MA | M17456 | BC/BS of MA Group Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207N00000X – Dermatology | - | - |
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About NPI 1285614834
Adult & Pediatric Dermatology, P.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1285614834. The primary specialty listed is Dermatology. The organization is located in Concord, MA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1285614834?
NPI 1285614834 belongs to Adult & Pediatric Dermatology, P.c., a Dermatology in Concord, MA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1285614834 active?
The current status of NPI 1285614834 in the NPPES registry is Active. The record was last updated on 2024-10-28.
What specialty is NPI 1285614834?
NPI 1285614834 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1285614834?
You can verify NPI 1285614834 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1285614834?
The primary practice address on file for NPI 1285614834 is 54 Baker Avenue Ext Ste 305&306, Concord, MA 01742-2137. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1285614834 issued?
NPI 1285614834 was first issued (enumerated) on 2006-01-19. The NPPES record was last updated on 2024-10-28.
Practice Location Map
Adult & Pediatric Dermatology, P.c. is located at 54 Baker Avenue Ext Ste 305&306, Concord, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Adult & Pediatric Dermatology, P.c.. All records sourced from the CMS NPPES registry.