Apderm Wellesley P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

APDERM WELLESLEY P.C.

Practice address

386 Washington St
Wellesley, MA 02481-6213

Phone

(978) 371-7010

Fax

(978) 371-0522

NPI assigned

Dec 5, 2014

Last updated

Dec 5, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ADULT & PEDIATRIC DERMATOLOGY, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Samuel D. Goos, M.D.NPI 1548240039

Title

Ownder

Phone

(978) 371-7010

Specialties & licenses 1

Addresses

Part of

Adult Pediatric Dermatolog

Practitioners 1

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.

• Samuel D Goos, M.D.

  • Dermatology Physician
  • Concord, MA
  • NPI 1548240039
  Authorized official Same address or phone

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1437557519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST",
            "address_2": "SUITE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "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": "386 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816213",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APDERM WELLESLEY P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT & PEDIATRIC DERMATOLOGY, P.C.",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "GOOS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "978-371-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dea F Angiolillo, M.D.
• Anhthy Prendeville OD LLC
• Ann Nicoloff Becker, MD, LLC
• Anna Cressey OD, LLC (Wellesley Vision Group)
• Lindsay Antonio, M.S., BCBA, LABA
• Applied Behavioral Learning Services
• Gayle M Archambault, SLP CCC
• Eukeria R Asamoah, PMHNP
• Lois Fironze Ashcroft, RN CNS
• Atrius Health, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.