MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C.
NPI 1508996430
Dermatology in Medford, MA

Active since March 07, 2007
92 HIGH ST, T21, MEDFORD, MA 02155(781) 391-0778 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Sep 11, 2020 (2 updates tracked since 2020).

About Mystic Valley Dermatology Associates, P.c. NPPES

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

MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C. (NPI 1508996430) is a healthcare organization registered as a dermatology in Medford, Massachusetts and active in the NPI registry since March 2007. The organization lists Samuel D Goos, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1508996430
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C.
Location Address92 HIGH ST, T21Medford, MA 02155-3850
Mailing Address526 Main St Ste 302Acton, MA 01720-3301 · (978) 371-7010 · Fax (978) 371-0522
Organization SubpartNo
Authorized OfficialSamuel D GoosManaging Partner · (978) 371-7010
Enumeration DateMarch 7, 2007
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1508996430 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.
92 HIGH ST, Medford, MA 02155

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

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
92 HIGH ST
MEDFORD, MA 02155
Family Medicine
92 HIGH ST, SUITE DH4
MEDFORD, MA 02155
Ophthalmology
92 HIGH ST
MEDFORD, MA 02155
Internal Medicine (Gastroenterology)
92 HIGH ST
MEDFORD, MA 02155
Ophthalmology
92 HIGH ST, SUITE T-31
MEDFORD, MA 02155
Social Worker (Clinical)
92 HIGH ST, DH7
MEDFORD, MA 02155
Psychologist
92 HIGH ST, SUITE 7
MEDFORD, MA 02155
Dentist (General Practice)
92 HIGH ST, SUITE 12
MEDFORD, MA 02155

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 Mystic Valley Dermatology Associates, P.C.'s NPI number?

The NPI number for Mystic Valley Dermatology Associates, P.C. is 1508996430. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Mystic Valley Dermatology Associates, P.C. located?

Mystic Valley Dermatology Associates, P.C. is located at 92 High St T21, Medford, MA 02155. The listed phone number is (781) 391-0778.

What is Mystic Valley Dermatology Associates, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Mystic Valley Dermatology Associates, P.C. was last updated on April 24, 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.