Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADULT & PEDIATRIC DERMATOLOGY, P.C.
NPI 1285614834
Dermatology in Concord, MA

Active since January 19, 2006CLIA Certified · 14 labs
54 BAKER AVENUE EXT STE 305&306, CONCORD, MA 01742(978) 371-7010(978) 371-0522 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2026, Jul 29, 2026 (2 updates tracked since 2026).

About Adult & Pediatric Dermatology, P.c. NPPES

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

ADULT & PEDIATRIC DERMATOLOGY, P.C. (NPI 1285614834) is a healthcare organization registered as a dermatology in Concord, Massachusetts and active in the NPI registry since January 2006. The organization holds 14 active CLIA laboratory certificates, maintains 14 additional practice locations, and lists Samuel D Goos, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1285614834
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADULT & PEDIATRIC DERMATOLOGY, P.C.
Location Address54 BAKER AVENUE EXT STE 305&306Concord, MA 01742-2137
Mailing Address526 Main St Ste 302Acton, MA 01720-3310 · (978) 371-7010 · Fax (978) 371-0522
Fax(978) 371-0522
Organization SubpartNo
Authorized OfficialSamuel D GoosManaging Partner · (978) 371-7010
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1285614834 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 ListedPathology · DermatopathologyTaxonomy 207ZD0900X
54 BAKER AVENUE EXT STE 305&306, Concord, MA 01742

Secondary Practice Locations 14

Location 1133 Littleton Rd Ste 205&206Westford, MA 01886-3115 · Phone (978) 692-9978 · Fax (978) 589-6835
Location 2201 Boston Post Rd W Ste 200&202Marlborough, MA 01752-4667 · Phone (508) 460-9613 · Fax (978) 371-0522
Location 387 McGregor St Ste 2100Manchester, NH 03102-3767 · Phone (603) 626-7546 · Fax (603) 626-7548
Location 41 Highlander WayManchester, NH 03103-7403 · Phone (603) 626-7546 · Fax (603) 626-7548
Location 517-19 Elissa Ave, Suite 302Wayland, MA 01778-3154 · Phone (508) 276-6648 · Fax (978) 371-0522
Location 6288 Grove St Ste 201Worcester, MA 01605-3934 · Phone (508) 552-3130 · Fax (978) 371-0522
Location 7386 Washington StWellesley, MA 02481-6213 · Phone (781) 235-1533 · Fax (781) 235-2393
Location 875 3rd Ave Ste 6Waltham, MA 02451-7582 · Phone (781) 701-8030 · Fax (781) 373-9248
Location 92 Pillsbury St Ste 501Concord, NH 03301-3576 · Phone (603) 333-2908 · Fax (603) 715-8987
Location 1086 Baker Avenue Ext Ste 100Concord, MA 01742-2132 · Phone (978) 371-7010 · Fax (978) 287-4268
Location 11190 Groton Rd Ste 120Ayer, MA 01432-1124 · Phone (978) 772-2424 · Fax (978) 369-6260
Location 1280 Erdman Way Ste 100Leominster, MA 01453-1840 · Phone (978) 751-9280 · Fax (978) 627-3923
Location 1355 Mill StWolfeboro, NH 03894-4328 · Phone (603) 569-3376 · Fax (603) 569-5046
Location 14120 Washington St Unit 202Rochester, NH 03839-5535 · Phone (603) 255-8920 · Fax (603) 403-1108

Other Identifiers 2

OtherM17456MA · Bc/bs Of Ma Group Number
Other607334MA · Tufts Health Plan 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)

Adult & Pediatric Dermatology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Adult & Pediatric Dermatology, P.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology27
Nurse Practitioner11
Micrographic Dermatologic Surgery (MDS)1
Pathology1

Nearest to this location (20)

See all 40
Dermatology
NPI 1548240039
54 BAKER AVENUE EXT STE 302
Concord, MA 01742
(978) 371-7010
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184736969
54 BAKER AVENUE EXT 305
Concord, MA 01742
(978) 371-7010
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1083061048
54 BAKER AVENUE EXT STE 305&306
Concord, MA 01742
(351) 300-0110
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1033559646
54 BAKER AVENUE EXT STE 305&306
Concord, MA 01742
(978) 371-7010
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1124006127
54 BAKER AVENUE EXT 305
Concord, MA 01742
(978) 371-7010
✔ PECOS✔ Accepts Medicare0.2 mi
Dermatology
NPI 1801054150
54 BAKER AVENUE EXT STE 305
Concord, MA 01742
(978) 371-7010
✔ PECOS✔ Accepts Medicare0.2 mi
Dermatology
NPI 1689652257
75 3RD AVE STE 6
Waltham, MA 02451
(781) 701-8030
✔ PECOS✔ Accepts Medicare7.7 mi
Dermatology
NPI 1386761039
133 LITTLETON RD SUITE 205
Westford, MA 01886
(978) 692-9978
✔ PECOS✔ Accepts Medicare7.7 mi
Dermatology
NPI 1467442632
133 LITTLETON RD SUITE 205
Westford, MA 01886
(978) 371-7010
✔ PECOS✔ Accepts Medicare7.7 mi
Dermatology
NPI 1932186772
133 LITTLETON RD STE 205
Westford, MA 01886
(978) 371-7010
✔ PECOS✔ Accepts Medicare7.7 mi
Dermatology
NPI 1811970155
27 VILLAGE SQ
Chelmsford, MA 01824
(978) 244-0060
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1811008634
201 BOSTON POST RD W STE 200&202
Marlborough, MA 01752
(508) 460-9613
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1184356123
201 BOSTON POST RD W STE 200&202
Marlborough, MA 01752
(508) 460-9613
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1245602457
201 BOSTON POST RD W STE 200&202
Marlborough, MA 01752
(508) 460-9613
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1124133277
201 BOSTON POST RD W STE 200&202
Marlborough, MA 01752
(508) 460-9613
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1194115709
201 BOSTON POST RD W STE 200&202
Marlborough, MA 01752
(508) 460-9613
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1891957577
201 BOSTON POST RD W STE 200&202
Marlborough, MA 01752
(508) 460-9613
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1699886432
340 MAPLE ST SUITE 201
Marlborough, MA 01752
(508) 460-9613
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1568019032
17-19 ELISSA AVE
Wayland, MA 01778
(508) 276-6648
✔ PECOS✔ Accepts Medicare15 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1790348472
80 ERDMAN WAY STE 100
Leominster, MA 01453
(978) 751-9280
✔ PECOS20 mi
See all 40 clinicians

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

CLIA Laboratory Certificates CMS CLIA 14

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 30D2146470

Adult & Pediatric Dermatology PC · Concord, NH
Active · expires Sep 19, 2028
CLIA Number30D2146470
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2026
Certificate Expiration DateSeptember 19, 2028
Laboratory DirectorDonald J. Grande
Laboratory Phone(603) 626-7546
Laboratory LocationAdult & Pediatric Dermatology PC2 Pillsbury St, Ste 501, Concord, NH 03301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 22D2221623

Adult & Pediatric Dermatology, PC · Worcester, MA
Active · expires Aug 30, 2028
CLIA Number22D2221623
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2026
Certificate Expiration DateAugust 30, 2028
Laboratory DirectorDr. David E. Geist
Laboratory Phone(978) 371-7010
Laboratory LocationAdult & Pediatric Dermatology, PC288 Grove St Suite 201, Worcester, MA 01605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 30D0931906

Adult & Pediatric Dermatology, PC · Manchester, NH
Active · expires Dec 15, 2026
CLIA Number30D0931906
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorDonald J. Grande
Laboratory Phone(603) 626-7546
Laboratory LocationAdult & Pediatric Dermatology, PC87 Mcgregor St, Ste 2100, Manchester, NH 03102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 22D0959317

Adult & Pediatric Dermatology, PC · Westford, MA
Active · expires Jun 25, 2028
CLIA Number22D0959317
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorDr. Benjamin A. Solky
Laboratory Phone(978) 844-2678
Laboratory LocationAdult & Pediatric Dermatology, PC133 Littleton Road, Suite 205, Westford, MA 01886
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 22D2055988

Adult & Pediatric Dermatology PC · Concord, MA
Active · expires Dec 29, 2027
CLIA Number22D2055988
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorDavid E. Geist
Laboratory Phone(978) 849-7515
Laboratory LocationAdult & Pediatric Dermatology PC54 Baker Avenue Ext, Concord, MA 01742
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D2148460

Adult & Pediatric Dermatology, PC · Waltham, MA
Active · expires Jun 30, 2027
CLIA Number22D2148460
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorDr. Peter Muz
Laboratory Phone(978) 849-7515
Laboratory LocationAdult & Pediatric Dermatology, PC75 3rd Avenue, Waltham, MA 02451
CLIA data matches this NPI record on: Address Name
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 Adult & Pediatric Dermatology, P.C.'s NPI number?

The NPI number for Adult & Pediatric Dermatology, P.C. is 1285614834. It was assigned to this organization in the NPPES registry on January 19, 2006.

Where is Adult & Pediatric Dermatology, P.C. located?

Adult & Pediatric Dermatology, P.C. is located at 54 Baker Avenue Ext Ste 305&306, Concord, MA 01742. The listed phone number is (978) 371-7010.

What is Adult & Pediatric Dermatology, P.C.'s specialty?

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

Is Adult & Pediatric Dermatology, P.C. enrolled in Medicare?

Yes. Adult & Pediatric Dermatology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adult & Pediatric Dermatology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 4 Medicare specialties reassign their Medicare billing to Adult & Pediatric Dermatology, P.C.. 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. The largest specialties are Dermatology (27), Nurse Practitioner (11) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 4 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Adult & Pediatric Dermatology, P.C. hold CLIA laboratory certificates?

Yes. 14 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Adult & Pediatric Dermatology, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Adult & Pediatric Dermatology, P.C. 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 Adult & Pediatric Dermatology, P.C. was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.