MYSTIC VALLEY MASS, PC – NPI #1184377343
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Health Care Provider Taxonomy Code for Dermatology

MYSTIC VALLEY MASS, PC is a dermatologist located in STONEHAM, MA. NPPES has assigned the NPI number 1184377343 to MYSTIC VALLEY MASS, PC on January 28, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MYSTIC VALLEY MASS, PC below.

NPI Profile for
MYSTIC VALLEY MASS, PC

NPI Number
1184377343
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MYSTIC VALLEY MASS, PC
Primary location
92 MONTVALE AVE STE 3000
STONEHAM, MA 02180-3658
Phone: (781) 438-6350 Fax:
Mailing address
526 MAIN ST STE 302
ACTON, MA 01720-3301
Phone: (978) 371-7010 Fax:
Organization Subpart
Yes - MYSTIC VALLEY MASS, PC is subpart of another organization.
Authorized Official
SAMUEL GOOS
OWNER
Phone: (783) 717-0109
Updated
Certification Date
Jan 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.