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Dermasap Pllc

Dermatology Physician in Quincy, MA · enumerated 2015 · authorized official Staci Goodwin, Om.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477937480

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Registry record

Entity type Organization (Type 2)
Legal business name Dermasap Pllc
Practice address 500 Congress St, B1, Quincy, MA, 02169
Phone (617) 472-6764
Enumeration date Jul 20, 2015
Last updated in NPPES Dec 27, 2016

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 49076 (MA) Primary

Authorized official

Name Staci Goodwin
Title Om
Phone (617) 472-6764

Other identifiers

Identifier Type State Issuer
043214763 Medicaid MA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Dermasap Pllc?
The NPI for Dermasap Pllc is 1477937480, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dermasap Pllc?
NPPES lists Staci Goodwin (Om) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-27.