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BOSTON DERMATOLOGY AND LASER CENTER, LLC
NPI 1215963574
Dermatology in Boston, MA

Active since June 25, 2006CLIA 22D0976301 · Certificate of Compliance
30 LANCASTER STREET, SUITE 400, BOSTON, MA 02114(617) 722-4100(617) 227-1134 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2025, Jun 21, 2019, May 13, 2019 (3 updates tracked since 2019).

About Boston Dermatology And Laser Center, Llc NPPES

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

BOSTON DERMATOLOGY AND LASER CENTER, LLC (NPI 1215963574) is a healthcare organization registered as a dermatology in Boston, Massachusetts and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 15, 2026, maintains a secondary practice location in Cambridge, and lists Samuel Goos, Owner/managing Partner, as its authorized official.

NPPES Registry Identity

NPI1215963574
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBOSTON DERMATOLOGY AND LASER CENTER, LLC
Location Address30 LANCASTER STREET, SUITE 400Boston, MA 02114-2517
Mailing Address526 Main St Ste 302Acton, MA 01720-3301 · (978) 371-7010 · Fax (978) 371-0522
Phone(617) 722-4100
Fax(617) 227-1134
Organization SubpartNo
Authorized OfficialSamuel GoosOwner/managing Partner · (978) 371-7010
Enumeration DateJune 25, 2006
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1215963574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
30 LANCASTER STREET, Boston, MA 02114
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Secondary Practice Location 1

Location 125 Carleton St Bldg E23Cambridge, MA 02142-1323 · Phone (617) 258-9768 · Fax (877) 947-2327

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 22D0976301

Boston Dermatology & Laser Center · Boston, MA
Active · expires Oct 15, 2026
CLIA Number22D0976301
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorHelen A. Raynham
Laboratory Phone(978) 849-7515
Laboratory LocationBoston Dermatology & Laser Center30 Lancaster Street, Boston, MA 02114
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOANNES M GREVELINK MD PHD
Dermatology
30 LANCASTER STREET, SUITE 400
BOSTON, MA 02114
Suffolk County (617) 722-4100
BD & L PROVIDER LLC
Dermatology
30 LANCASTER STREET, SUITE 400
BOSTON, MA 02114
Suffolk County (617) 722-4100
JENNIFER M HUNTER-YATES M.D.
Dermatology
30 LANCASTER STREET, SUITE 400
BOSTON, MA 02114
Suffolk County (617) 722-4100
DR. ROBERT STASZEWSKI M.D.
Dermatology
30 LANCASTER STREET, SUITE 400
BOSTON, MA 02114
Suffolk County (617) 722-4100

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 Boston Dermatology And Laser Center, LLC's NPI number?

The NPI number for Boston Dermatology And Laser Center, LLC is 1215963574. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Boston Dermatology And Laser Center, LLC located?

Boston Dermatology And Laser Center, LLC is located at 30 Lancaster Street Suite 400, Boston, MA 02114. The listed phone number is (617) 722-4100.

What is Boston Dermatology And Laser Center, LLC's specialty?

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

Does Boston Dermatology And Laser Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D0976301) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boston Dermatology And Laser Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Boston Dermatology And Laser Center, LLC 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 Boston Dermatology And Laser Center, LLC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.