NPIMap

Organization Active NPI

Adult & Pediatric Dermatology, P.C.

  • Dermatology Physician
  • Concord, MA
National Provider Identifier
1285614834
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ADULT & PEDIATRIC DERMATOLOGY, P.C.
Practice address
54 Baker Avenue Ext Ste 305&306
Concord, MA 01742-2137
Phone
(978) 371-7010
Fax
(978) 371-0522
NPI assigned
Jan 19, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Samuel D Goos, MDNPI 1548240039
Title
Managing Partner
Phone
(978) 371-7010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X
Dermatopathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZD0900X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X

Addresses

Primary practice location

54 Baker Avenue Ext Ste 305&306
Concord, MA 01742-2137

Mailing address

526 Main St Ste 302
Acton, MA 01720-3310
Phone (978) 371-7010

Other practice location 1

133 Littleton Rd Ste 205&206
Westford, MA 01886-3115
Phone (978) 692-9978

Other practice location 2

201 Boston Post Rd W Ste 200&202
Marlborough, MA 01752-4667
Phone (508) 460-9613

Other practice location 3

87 McGregor St Ste 2100
Manchester, NH 03102-3767
Phone (603) 626-7546

Other practice location 4

1 Highlander Way
Manchester, NH 03103-7403
Phone (603) 626-7546

Other practice location 5

17-19 Elissa Ave
Suite 302
Wayland, MA 01778-3154
Phone (508) 276-6648

Other practice location 6

288 Grove St Ste 201
Worcester, MA 01605-3934
Phone (508) 552-3130

Other practice location 7

386 Washington St
Wellesley, MA 02481-6213
Phone (781) 235-1533

Other practice location 8

75 3rd Ave Ste 6
Waltham, MA 02451-7582
Phone (781) 701-8030

Other practice location 9

2 Pillsbury St Ste 501
Concord, NH 03301-3576
Phone (603) 333-2908

Other practice location 10

86 Baker Avenue Ext Ste 100
Concord, MA 01742-2132
Phone (978) 371-7010

Other practice location 11

190 Groton Rd Ste 120
Ayer, MA 01432-1124
Phone (978) 772-2424

Other practice location 12

80 Erdman Way Ste 100
Leominster, MA 01453-1840
Phone (978) 751-9280

Other practice location 13

55 Mill St
Wolfeboro, NH 03894-4328
Phone (603) 569-3376

Other practice location 14

120 Washington St Unit 202
Rochester, NH 03839-5535
Phone (603) 255-8920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040802000790 MA Part B Supplier - Clinic/Group Practice 7012988306 Receives reassigned benefits from 41 practitioners
Practice locations: Worcester, MA; Westford, MA; Wellesley, MA; Wayland, MA; Waltham, MA; Marlborough, MA; Stoneham, MA; Ayer, MA…
O20101111001171 NH Part B Supplier - Clinic/Group Practice 7012988306 Receives reassigned benefits from 15 practitioners
Practice locations: Concord, NH; Manchester, NH; Rochester, NH; Wolfeboro, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0687234Adult & Pediatric Dermatology, PC133 Littleton Road, Ste 310, Westford, MA 01886ComplianceAug 10, 2026
22D0959317Adult & Pediatric Dermatology, PC133 Littleton Road, Suite 205, Westford, MA 01886ComplianceJun 25, 2028
22D0988935Adult & Pediatric Dermatology PC386 Washington St, Wellesley Hills, MA 02481Provider-performed microscopyJan 29, 2028
22D0998076Adult and Pediatric Dermatology PC190 Groton Rd, Ayer, MA 01432Certificate of waiverApr 3, 2028
22D2004899Adult & Pediatric Dermatology, PC201 Boston Post Road West, Suite202, Marlboro, MA 01752ComplianceDec 1, 2026
22D2055988Adult & Pediatric Dermatology PC54 Baker Avenue Ext, Concord, MA 01742ComplianceDec 29, 2027
22D2090003Adult & Pediatric Dermatology PC80 Erdman Way Suite 100, Leominster, MA 01453ComplianceDec 20, 2026
22D2148460Adult & Pediatric Dermatology, PC75 3Rd Avenue, Waltham, MA 02451Provider-performed microscopyJun 30, 2027
22D2221623Adult & Pediatric Dermatology, PC288 Grove St Suite 201, Worcester, MA 01605ComplianceAug 30, 2026
30D0931906Adult & Pediatric Dermatology, PC87 McGregor St, Ste 2100, Manchester, NH 03102ComplianceDec 15, 2026
30D2041961Adult and Pediatric Dermatology55 Mill St, Ste 200, Wolfeboro, NH 03894ComplianceJan 17, 2027
30D2146470Adult & Pediatric Dermatology PC2 Pillsbury St, Ste 501, Concord, NH 03301ComplianceSep 19, 2026

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

54 Baker Avenue Ext
Ste 305306
Concord, MA 01742
Phone (351) 300-0110

80 Erdman Way
Ste 100
Leominster, MA 01453
Phone (978) 751-9280

201 Boston Post Rd W
Ste 200
Marlborough, MA 01752
Phone (508) 460-9613

340 Maple St
Ste 201
Marlborough, MA 01752
Phone (508) 460-9613

17 Elissa Ave
Wayland, MA 01778

120 Washington St
Unit 202
Rochester, NH 03839
Phone (603) 255-8920

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1285614834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203310",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 305&306",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Littleton Rd Ste 205&206",
            "address_purpose": "LOCATION",
            "city": "Westford",
            "state": "MA",
            "postal_code": "018863115",
            "country_code": "US",
            "telephone_number": "978-692-9978",
            "fax_number": "978-589-6835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Boston Post Rd W Ste 200&202",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017524667",
            "country_code": "US",
            "telephone_number": "508-460-9613",
            "fax_number": "978-371-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 McGregor St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031023767",
            "country_code": "US",
            "telephone_number": "603-626-7546",
            "fax_number": "603-626-7548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Highlander Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031037403",
            "country_code": "US",
            "telephone_number": "603-626-7546",
            "fax_number": "603-626-7548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17-19 Elissa Ave",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "MA",
            "postal_code": "017783154",
            "country_code": "US",
            "telephone_number": "508-276-6648",
            "fax_number": "978-371-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "288 Grove St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016053934",
            "country_code": "US",
            "telephone_number": "508-552-3130",
            "fax_number": "978-371-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "386 Washington St",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024816213",
            "country_code": "US",
            "telephone_number": "781-235-1533",
            "fax_number": "781-235-2393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 3rd Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024517582",
            "country_code": "US",
            "telephone_number": "781-701-8030",
            "fax_number": "781-373-9248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Pillsbury St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033013576",
            "country_code": "US",
            "telephone_number": "603-333-2908",
            "fax_number": "603-715-8987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 Baker Avenue Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422132",
            "country_code": "US",
            "telephone_number": "978-371-7010",
            "fax_number": "978-287-4268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Groton Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Ayer",
            "state": "MA",
            "postal_code": "014321124",
            "country_code": "US",
            "telephone_number": "978-772-2424",
            "fax_number": "978-369-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Erdman Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014531840",
            "country_code": "US",
            "telephone_number": "978-751-9280",
            "fax_number": "978-627-3923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Mill St",
            "address_purpose": "LOCATION",
            "city": "Wolfeboro",
            "state": "NH",
            "postal_code": "038944328",
            "country_code": "US",
            "telephone_number": "603-569-3376",
            "fax_number": "603-569-5046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Washington St Unit 202",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038395535",
            "country_code": "US",
            "telephone_number": "603-255-8920",
            "fax_number": "603-403-1108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADULT & PEDIATRIC DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "GOOS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "978-371-7010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.