NPIMap

Organization Active NPI

Apderm Path

  • Dermatology Physician
  • Westford, MA
National Provider Identifier
1962752998
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
APDERM PATH
Practice address
133 Littleton Rd Ste 310
Westford, MA 01886-3198
Phone
(978) 371-7010
NPI assigned
Sep 18, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ADULT & PEDIATRIC DERMATOLOGY, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

133 Littleton Rd Ste 310
Westford, MA 01886-3198

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

Other practice location 1

1620 Sudbury Rd
Concord, MA 01742-5800
Phone (978) 371-7010

Other practice location 2

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

National Provider Directory

National Provider Directory
Tax ID family
Adult Pediatric Dermatolog2 organizations share this tax ID, including this one
Part of
Adult Pediatric Dermatolog

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1620 Sudbury Rd
Concord, MA 01742

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962752998",
    "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",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD STE 310",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863198",
            "telephone_number": "978-371-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Sudbury Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017425800",
            "country_code": "US",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "526 Main St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017203301",
            "country_code": "US",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APDERM PATH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT & PEDIATRIC DERMATOLOGY, P.C.",
        "enumeration_date": "2012-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOOS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "978-371-7010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.