NORTHEAST MEDICAL PRACTICE (NPI# 1801088455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801088455 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MEDICAL PRACTICE |
| Other Organization Name | LYNNFIELD PRIMARY CARE |
| Practice Address |
628 Salem St Lynnfield MA 01940-2340 |
| Practice Telephone | 7815984424 |
| Practice Fax Number | 7815980630 |
| Mailing Telephone | 7815984424 |
| Mailing Fax Number | 7815980630 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |
| Authorized Official Name | MS. PHYLLIS FABELLO (SENIOR PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9782361710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 154744 | MA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lynnfield Primary Care | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1023046810 | Northeast Medical Practice | Specialist | 280 Union St, Lynn, MA 01901-1353 | 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 |
628 SALEM ST |
| City | LYNNFIELD |
| State | MA |
| Zip Code | 01940-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763912 | Ruth A Hazen | Pediatrics | 628 Salem St, Lynnfield, MA 01940-2340 | 2005-10-11 |
| 1629625256 | Stephanie Zeller | Nurse Practitioner | 628 Salem St, Lynnfield, MA 01940-2340 | 2019-08-19 |
| 1821437393 | Celeste Dunn | Pediatrics | 628 Salem St, Lynnfield, MA 01940-2340 | 2013-06-18 |
| 1467705350 | Lynnfield Pediatrics | Pediatrics | 628 Salem St, Lynnfield, MA 01940 | 2012-10-17 |
| 1528355856 | Michael Stephen Sirois | Physician Assistant | 628 Salem St, Lynnfield Pediatrics, Lynnfield, MA 01940-2340 | 2011-07-07 |
| 1184957813 | Shreegouri Bharath Savkur | Physician Assistant | 628 Salem St, Lynnfield, MA 01940-2340 | 2009-09-14 |
| 1003820317 | Dorothy J Ganick | Pediatrics | 628 Salem St, Lynnfield, MA 01940-2340 | 2006-07-29 |
| 1750319547 | Northeast Physician Practice | Clinic/Center | 628 Salem St, Lynnfield, MA 01940-2340 | 2006-06-29 |
| 1558359711 | John A Schey | Pediatrics | 628 Salem St, Lynnfield, MA 01940-2340 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063077030 | Lauren Chiarenza Lomonaco | Nurse Practitioner | Lahey Health Urgent Care, Lynnfield, 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2019-05-06 |
| 1821578006 | Stephanie M Jackson | Nurse Practitioner | 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2018-08-17 |
| 1922505072 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 1350 Market Street, 2nd Floor, Beth Israel Lahey Health Primary Care, Inc., Lynnfield, MA 01940 | 2018-04-06 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1356862080 | Sabine Jean-louis | Nurse Practitioner | 4 Michaels Rd, Lynnfield, MA 01940 | 2017-07-03 |
| 1750734026 | Margaret Maina | Counselor | 375 Broadway Spc 111, Lynnfield, MA 01940 | 2016-07-21 |
| 1528443603 | Elizabeth Ann Watson | Nurse Practitioner | 628 Salem Street, Lynnfield, MA 01940 | 2015-07-30 |
| 1093036691 | North Shore Smiles | Dentist | 1 Post Office Square, Lynnfield Medical, Lynnfield, MA 01940 | 2010-06-17 |
| 1942468707 | Nancy Jo Meehan | Social Worker | 55 Salem St, Lynnfield, MA 01940 | 2008-05-29 |
| 1154526382 | Richard A. Peinert, Md, PC | Specialist | Lynnfield Medical Building, Post Office Square, Lynnfield, MA 01940 | 2007-06-18 |
| Find all providers in zip 01940 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487677027 | Lisa Marie Connolly | Family Medicine | 6 Kimball Ln, Lahey Lynnfield, Lynnfield, MA 01940-2682 | 2006-07-25 |
| 1689697245 | Cherylyn Kaye Black | Family Medicine | 6 Kimball Lane, Lahey Lynnfield, Lynnfield, MA 01940-2682 | 2006-07-25 |
| 1700885639 | Sini Poulose | Family Medicine | Lahey Health Primary Care, Lynnfield, 6 Kimball Lane, Suite 120, Lynnfield, MA 01940-2667 | 2005-07-21 |
| 1528556529 | Beth Israel Lahey Health Primary Care, Inc. | Family Medicine | Lahey Health Primary Care, Lynnfield, 1350 Market Street, 2nd Floor, Lynnfield, MA 01940 | 2018-04-25 |
| 1437460045 | Terese Frazier Landry | Family Medicine | Lahey Health Primary Care, Lynnfield, 6 Kimball Lane, Suite 120, Lynnfield, MA 01940-2667 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1588290324 | Lighthouse Primary Care PC | Family Medicine | 315 Main St Ste 101, North Reading, MA 01864-1326 | 2020-03-12 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.