NORTH SHORE REHABILITATION ASSOCIATES INC.


Address: 121 Broad Street, Lynn, MA 01901-1629
Phone: 7815939090

NORTH SHORE REHABILITATION ASSOCIATES INC. (NPI# 1407079759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407079759
Entity Type Organization
Organization Name NORTH SHORE REHABILITATION ASSOCIATES INC.
Practice Address 121 Broad Street
Lynn
MA 01901-1629
Practice Telephone 7815939090
Practice Fax Number 7805939093
Mailing Telephone 7815939090
Mailing Fax Number 7805939093
Enumeration Date 2007-04-11
Last Update Date 2012-05-31
Authorized Official Name MR. ALEX PYATIGORSKIY (PRESIDENT)
Authorized Official Telephone 7815939093
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA 9751441 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053476531 North Shore Rehabilitation Associates Inc. Clinic/Center 121 Broad St, Lynn, MA 01901-1629 2006-12-26

Office Location

Street Address 121 BROAD STREET
City LYNN
State MA
Zip Code 01901-1629

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City LYNN
Zip Code 01901

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Dataset Information

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.

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