Boston Dermatology and Laser Center, LLC
NPI 1215963574 · Dermatology Physician · Boston, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boston Dermatology and Laser Center, LLC is a Dermatology Physician organization in Boston, MA (NPI 1215963574).
Provider details
- NPI number
- 1215963574
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Goos, Owner/Managing Partner(978) 371-7010
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 25 Carleton St Bldg E23Cambridge, MA 02142-1323Phone: (617) 258-9768Fax: (877) 947-2327
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2025-05-23
- Certified
- 2025-05-23
Frequently asked questions
- What is Boston Dermatology and Laser Center, LLC's NPI number?
- Boston Dermatology and Laser Center, LLC's National Provider Identifier (NPI) is 1215963574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boston Dermatology and Laser Center, LLC?
- Boston Dermatology and Laser Center, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Boston Dermatology and Laser Center, LLC located?
- Boston Dermatology and Laser Center, LLC's practice location on file with NPPES is 30 Lancaster Street, Boston, MA 02114-2517.
- What is Boston Dermatology and Laser Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Boston Dermatology and Laser Center, LLC is (617) 722-4100.
- Does Boston Dermatology and Laser Center, LLC accept Medicare?
- Boston Dermatology and Laser Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boston Dermatology and Laser Center, LLC?
- The authorized official listed on Boston Dermatology and Laser Center, LLC's NPPES record is Samuel Goos, Owner/Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boston Dermatology and Laser Center, LLC's NPI active?
- Yes — Boston Dermatology and Laser Center, LLC's NPI (1215963574) is active in the NPPES registry as of the last update on 2025-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.