Mystic Valley Dermatology Associates, P.C.
NPI 1508996430 · Dermatology Physician · Medford, MA
Mystic Valley Dermatology Associates, P.C. is a Dermatology Physician organization in Medford, MA (NPI 1508996430).
Provider details
- NPI number
- 1508996430
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Goos, 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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Frequently asked questions
- What is Mystic Valley Dermatology Associates, P.C.'s NPI number?
- Mystic Valley Dermatology Associates, P.C.'s National Provider Identifier (NPI) is 1508996430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mystic Valley Dermatology Associates, P.C.?
- Mystic Valley Dermatology Associates, P.C. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mystic Valley Dermatology Associates, P.C. located?
- Mystic Valley Dermatology Associates, P.C.'s practice location on file with NPPES is 92 High St, Medford, MA 02155-3850.
- What is Mystic Valley Dermatology Associates, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Mystic Valley Dermatology Associates, P.C. is (781) 391-0778.
- Who is the authorized official for Mystic Valley Dermatology Associates, P.C.?
- The authorized official listed on Mystic Valley Dermatology Associates, P.C.'s NPPES record is Samuel Goos, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mystic Valley Dermatology Associates, P.C.'s NPI active?
- Yes — Mystic Valley Dermatology Associates, P.C.'s NPI (1508996430) is active in the NPPES registry as of the last update on 2026-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.