MARITIME MOHS PC
NPI 1063279420
Dermatology in Wellesley Hills, MA

Active since March 04, 2024
62 WALNUT ST STE 1, WELLESLEY HILLS, MA 02481(617) 710-6585 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2026, Sep 18, 2025, Jun 23, 2024 and 3 more (6 updates tracked since 2024).

About Maritime Mohs Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARITIME MOHS PC (NPI 1063279420) is a healthcare organization registered as a dermatology in Wellesley Hills, Massachusetts and active in the NPI registry since March 2024. The organization lists Jessica Suzanne Mosher, Director, as its authorized official.

NPPES Registry Identity

NPI1063279420
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMARITIME MOHS PC
Location Address62 WALNUT ST STE 1Wellesley Hills, MA 02481-2109
Mailing Address68 Wellesley RdBelmont, MA 02478-2125 · (617) 710-6585
Organization SubpartNo
Authorized OfficialJessica Suzanne MosherDirector · (617) 710-6585
Enumeration DateMarch 4, 2024
Last NPPES UpdateJuly 15, 20266 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1063279420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
62 WALNUT ST STE 1, Wellesley Hills, MA 02481

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maritime Mohs Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Maritime Mohs PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1013174903
62 WALNUT ST STE 1
Wellesley, MA 02481
(781) 400-0469
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1164412383
62 WALNUT ST
Wellesley, MA 02481
(781) 400-0469
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1063471050
62 WALNUT ST STE 1
Wellesley Hills, MA 02481
(781) 400-0469
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maritime Mohs PC's NPI number?

The NPI number for Maritime Mohs PC is 1063279420. It was assigned to this organization in the NPPES registry on March 4, 2024.

Where is Maritime Mohs PC located?

Maritime Mohs PC is located at 62 Walnut St Ste 1, Wellesley Hills, MA 02481. The listed phone number is (617) 710-6585.

What is Maritime Mohs PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Maritime Mohs PC enrolled in Medicare?

Yes. Maritime Mohs PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maritime Mohs PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Maritime Mohs PC, in Allergy/Immunology and Dermatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Maritime Mohs PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Maritime Mohs PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maritime Mohs PC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.