BDL Mass LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BDL MASS LLC

Practice address

54 Baker Avenue Ext
Concord, MA 01742-2137

Phone

(978) 371-7010

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BOSTON DERMATOLOGY AND LASER CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Samuel GoosNPI 1548240039

Title

Owner

Phone

(978) 371-7010

Specialties & licenses 1

Addresses

Part of

Boston Dermatology Lase

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.

• Boston Dermatology and Laser Center, LLC

  • Dermatology Physician
  • Boston, MA
  • NPI 1215963574
  NPPES parent name

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": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1649934027",
    "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": "017203301",
            "telephone_number": "978-371-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-371-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDL MASS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOSTON DERMATOLOGY AND LASER CENTER, LLC",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "GOOS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-371-7010"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murray H Baumal, O.D.
• Alicia Baumann, LCSW
• Suan L Baur, RN
• Elana Bayer-Pacht, MA
• BC SNP Mass LLC (Total Care Labs)
• Devon E Beal, NP, CNS
• Christine Beaton, M.ED.
• Lindsay Lee-Kallander Beatty
• Kirthana Beaulac, PHARMD
• Christine A. Beck, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.