Nesc Macipa LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

79526 Issued in MA

Legal business name

NESC MACIPA LLC

Doing business as

Northeast Surgery Center LLC

Practice address

22 Mill St Ste 304
Arlington, MA 02476-4778

Phone

(781) 641-4900

Fax

(781) 641-4904

NPI assigned

Feb 7, 2013

Last updated

Oct 7, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

DERMCARE PHYSICIANS AND SURGEONS LLCAs reported in NPPES

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

Specialties & licenses 7

Addresses

Other names 1

• Northeast Surgery Center LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Part of

Dermcare Physicians and Surgeons LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dermcare Physicians and Surgeons LLC

  • Dermatology Physician
  • Natick, MA
  • NPI 1780636597

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dermcare Physicians and Surgeons LLC

  • Dermatology Physician
  • Natick, MA
  • NPI 1780636597
  NPPES parent name

Practitioners 12

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.

• Reava Khristenko, NP

  • Nurse Practitioner
  • Boston, MA
  • NPI 1093229379

  Dermatology

  Medicare reassignment Care Compare group NPD
• Gregory M. Orlowski, MD, PHD

  • Dermatology Physician
  • Waltham, MA
  • NPI 1336675651
  Medicare reassignment Care Compare group NPD
• Helen A Raynham, M.D.

  • MOHS-Micrographic Surgery Physician
  • Natick, MA
  • NPI 1467423541

  Dermatology

  Medicare reassignment Care Compare group NPD
• Michelle L Bush, M.D.

  • Dermatology Physician
  • Arlington, MA
  • NPI 1679503270
  Medicare reassignment NPD
• Suzanne K Freitag, MD

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1710974464
  Medicare reassignment NPD
• Christine M Hayes, MD

  • MOHS-Micrographic Surgery Physician
  • Chelmsford, MA
  • NPI 1518958297

  Dermatology

  Medicare reassignment NPD
• Samuel D Goos, M.D.

  • Dermatology Physician
  • Concord, MA
  • NPI 1548240039
  Authorized official Same address or phone
• Paul F Bostrom, M.D.

  • Dermatology Physician
  • Chelmsford, MA
  • NPI 1811970155
  NPD
• Steven Ira Kornbleuth, MD

  • Dermatology Physician
  • Melrose, MA
  • NPI 1386634806
  NPD
• Melissa A Michelon, MD

  • Dermatology Physician
  • Worcester, MA
  • NPI 1982983235
  NPD
• Sara Phillips, M.D.

  • Dermatology Physician
  • Natick, MA
  • NPI 1710419973
  NPD
• Rachel Emma Surridge

  • Physician Assistant
  • Chelmsford, MA
  • NPI 1659143840
  NPD

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1467791665",
    "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": "22 MILL ST STE 304",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764778",
            "telephone_number": "781-641-4900",
            "fax_number": "781-641-4904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 E Central St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017603644",
            "country_code": "US",
            "telephone_number": "781-431-0060",
            "fax_number": "978-244-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Lancaster St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021141704",
            "country_code": "US",
            "telephone_number": "617-722-4100",
            "fax_number": "617-227-1134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Union St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017607700",
            "country_code": "US",
            "telephone_number": "508-655-0525",
            "fax_number": "508-647-0960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 3rd Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024517577",
            "country_code": "US",
            "telephone_number": "781-641-4900",
            "fax_number": "781-373-9248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Village Sq",
            "address_purpose": "LOCATION",
            "city": "Chelmsford",
            "state": "MA",
            "postal_code": "018242712",
            "country_code": "US",
            "telephone_number": "978-244-0060",
            "fax_number": "978-244-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Union St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017607700",
            "country_code": "US",
            "telephone_number": "508-655-0525",
            "fax_number": "508-647-0960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NESC MACIPA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERMCARE PHYSICIANS AND SURGEONS LLC",
        "enumeration_date": "2013-02-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "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": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "153438",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "79526",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "160016",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "205725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Surgery Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Surgery Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• MOHS-Micrographic Surgery Physician in Arlington, MA
• Providers in Arlington, MA by specialty
• MOHS-Micrographic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.