Advanced Derm Mass, LLC
NPI 1942961750ActiveOrganization· Dermatology· Melrose, MA
Dermatology in Melrose, Massachusetts, registered in NPPES in January 2022, part of Advanced Dermatology of Melrose, PLLC. The authorized official on file is Samuel Goos, Owner.
Overview
| NPI | 1942961750 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Dermatology of Melrose, PLLC |
| NPI issued | Jan 4, 2022 |
| Last updated in NPPES | Jan 28, 2022 |
| Certified by provider | Jan 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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