Maritime Mohs PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MARITIME MOHS PC

Practice address

62 Walnut St Ste 1
Wellesley Hills, MA 02481-2109

Phone

(617) 710-6585

NPI assigned

Mar 4, 2024

Last updated

Jul 15, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jessica Suzanne Mosher, MDNPI 1063471050

Title

Director

Phone

(617) 710-6585

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Suzanne Mosher, MD

  • MOHS-Micrographic Surgery Physician
  • Wellesley Hills, MA
  • NPI 1063471050

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Clara D Cokonis, M.D.

  • Dermatology Physician
  • Wellesley, MA
  • NPI 1013174903
  Medicare reassignment Care Compare group NPD
• Richard F Horan, MD

  • Dermatology Physician
  • Wellesley, MA
  • NPI 1164412383
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1063279420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WELLESLEY RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782125",
            "telephone_number": "617-710-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WALNUT ST STE 1",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812109",
            "telephone_number": "617-710-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITIME MOHS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "MOSHER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-710-6585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Elizabeth Mahoney
• Eugenia Marcus, MD
• Margil Family Chiropractic, P.C.
• Richard Joel Margil, D.C.
• Marillac Residence, Inc
• Mary Culliton CNM, Pmhnp
• Emily M Mather, CNM
• Mathew B Mathew MD PC
• Richard J McNulty, DMD
• Jennifer A McSweeney, CNM

• Dermatology Physician in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.