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LEXINGTON-WALTHAM DERMATOLOGY GROUP INC
NPI 1255463972
Specialist in Lexington, MA

Active since March 09, 2007CLIA 22D1019451 · Microscopy
57 BEDFORD ST STE 201, LEXINGTON, MA 02420(781) 862-2322(781) 863-0927 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 1, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Lexington-waltham Dermatology Group Inc NPPES

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

LEXINGTON-WALTHAM DERMATOLOGY GROUP INC (NPI 1255463972) is a healthcare organization registered as a specialist in Lexington, Massachusetts and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through November 18, 2027 and lists Samuel D Goos, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1255463972
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLEXINGTON-WALTHAM DERMATOLOGY GROUP INC
Location Address57 BEDFORD ST STE 201Lexington, MA 02420-4550
Mailing Address526 Main St Ste 302Acton, MA 01720-3301 · (978) 371-7010 · Fax (978) 371-0522
Phone(781) 862-2322
Fax(781) 863-0927
Organization SubpartNo
Authorized OfficialSamuel D GoosManaging Partner · (978) 371-7010
Enumeration DateMarch 9, 2007
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1255463972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
57 BEDFORD ST STE 201, Lexington, MA 02420
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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 for Provider-Performed Microscopy Procedures (PPMP) 22D1019451

Lexington-Waltham Dermatology Group PC · Lexington, MA
Active · expires Nov 18, 2027
CLIA Number22D1019451
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorLisa E. Arbesfeld
Laboratory Phone(781) 862-2322
Laboratory LocationLexington-Waltham Dermatology Group PC57 Bedford Street, Suite 201, Lexington, MA 02420
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Lexington-Waltham Dermatology Group Inc's NPI number?

The NPI number for Lexington-Waltham Dermatology Group Inc is 1255463972. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Lexington-Waltham Dermatology Group Inc located?

Lexington-Waltham Dermatology Group Inc is located at 57 Bedford St Ste 201, Lexington, MA 02420. The listed phone number is (781) 862-2322.

What is Lexington-Waltham Dermatology Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Lexington-Waltham Dermatology Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D1019451) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lexington-Waltham Dermatology Group Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Lexington-Waltham Dermatology Group Inc 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 Lexington-Waltham Dermatology Group Inc was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.