NORTHEAST MEDICAL PRACTICE (NPI# 1023046810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023046810 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MEDICAL PRACTICE |
| Practice Address |
280 Union St Lynn MA 01901-1353 |
| Mailing Address |
Po Box 2149 Nemso Danvers MA 01923-5149 |
| Practice Telephone | 7815963800 |
| Practice Fax Number | 7815963830 |
| Mailing Telephone | 9788186110 |
| Mailing Fax Number | 9788186115 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIM ROUILLARD (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9788186110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932137726 | Northeast Medical Practice | Clinic/Center | 107 Cummings Ctr, Beverly, MA 01915-6110 | 2006-06-29 |
| 1306873534 | Northeast Medical Practice | Clinic/Center | 16 S Main St, Topsfield, MA 01983-1813 | 2006-06-26 |
| 1801088455 | Northeast Medical Practice | Family Medicine | 628 Salem St, Lynnfield, MA 01940-2340 | 2007-08-16 |
| 1366642662 | Northeast Medical Practice | Internal Medicine | 85 Herrick St, Beverly, MA 01915-1790 | 2007-07-24 |
| 1427161660 | Northeast Medical Practice | Surgery | 298 Washington St, 4th Floor, Gloucester, MA 01930-4832 | 2006-08-15 |
| 1598793382 | Northeast Medical Practice | Specialist | 302 Washington St, Gloucester, MA 01930-4836 | 2006-06-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | NORTHEAST MEDICAL PRACTICE MANAGEMENT | 600 Blair Park Rd, Williston, VT 05495 |
| Vermont Business Registrations | NORTHEAST MEDICAL PRACTICE MANAGEMENT COMPANY | 600 Blair Park Road,suite 170, Williston, VT 05495 |
| New York State Corporations | NORTHEAST MEDICAL PRACTICE MANAGEMENT COMPANY | 600 Blair Park Road, Suite 170, Williston, Vt 05495 |
| New York State Corporations | NORTHEAST MEDICAL PRACTICE OF NEW YORK, P.C. | 69 State Street, 13th Floor, Albany, Ny 12207 |
| Street Address |
280 UNION ST |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740237304 | Willow Street Medical Lab LLC | Clinical Medical Laboratory | 280 Union St, Lynn, MA 01901-1353 | 2006-05-28 |
| 1467075614 | Henry Lou-goode | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-05-22 |
| 1386279271 | Ashley Winneberger | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-03-11 |
| 1841822897 | Jodi Lynne Amor | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2020-02-07 |
| 1275187676 | Welky Alexandra Galvis | Internal Medicine | 280 Union St, Lynn, MA 01901 | 2019-07-24 |
| 1093285405 | Bhoomi Utkal Patel | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2018-11-28 |
| 1770065807 | Christine Elizabeth Bowler | Nurse Practitioner | 280 Union St, Lynn, MA 01901-1353 | 2018-09-05 |
| 1235635657 | Morgan Mako | Nurse Practitioner | 280 Union St, Lynn, MA 01901-1353 | 2018-04-04 |
| 1164920450 | Christina Polsonetti | Case Manager/Care Coordinator | 280 Union St, Lynn, MA 01901-1353 | 2018-02-01 |
| 1861908642 | Jennifer Lee Calder | Registered Nurse | 280 Union St, Lynn, MA 01901-1353 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255790549 | Stephanie Lopes | Specialist | 38 Glenwood St, Lynn, MA 01902-1421 | 2016-02-16 |
| 1437580552 | Rosselyn Rodriguez | Specialist | 26 Jackson St, Lynn, MA 01902-1702 | 2013-11-30 |
| 1841317476 | Nora L Pari | Specialist | 53 Market St, Lynn, MA 01901-1004 | 2007-03-26 |
| 1255350716 | Robert Jules Vanwittenberghe | Specialist | 330 Lynn Way, Suite 101, Lynn, MA 01901 | 2006-07-18 |
| 1437178993 | J Philip Reimherr | Specialist | 173 Oxford St, Lynn, MA 01901-1117 | 2006-07-18 |
| 1255766283 | Lynn Vein Clinic, LLC | Specialist | 121 Broad St, Lynn, MA 01901-1629 | 2013-09-10 |
| 1972859825 | Svetlana Amitan | Specialist | 26 State St, Lynn, MA 01901-1505 | 2012-07-30 |
| 1942504196 | Yoshiharu Akabane PC | Specialist | 330 Lynnway, Lynn, MA 01901-1706 | 2011-01-03 |
| 1669646196 | Lynn Physical Therapy | Specialist | 26 State St, Lynn, MA 01901-1505 | 2008-04-16 |
| 1306974662 | Psychiatric Associates of Lynn PC | Specialist | 270 Union St, 3rd Floor, Lynn, MA 01901-1348 | 2007-03-01 |
| Find all providers in LYNN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.