NORTHEAST PHYSICIAN PRACTICE (NPI# 1841228632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841228632 |
| Entity Type | Organization |
| Organization Name | NORTHEAST PHYSICIAN PRACTICE |
| Other Organization Name | OB/GYN ASSOCIATES |
| Practice Address |
225 Boston St Suite 205 Lynn MA 01904-3137 |
| Mailing Address |
Po Box 2149 Nemso Danvers MA 01923-5149 |
| Practice Telephone | 7815954544 |
| Practice Fax Number | 7815813740 |
| 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 |
| Other Name | Type Code |
|---|---|
| OB/GYN Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750319547 | Northeast Physician Practice | Clinic/Center | 628 Salem St, Lynnfield, MA 01940-2340 | 2006-06-29 |
| Street Address |
225 BOSTON ST SUITE 205 |
| City | LYNN |
| State | MA |
| Zip Code | 01904-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881091 | David Z Greenseid | Ophthalmology | 225 Boston St, Lynn, MA 01904-3137 | 2005-06-14 |
| 1194368910 | Julie Robertson | Counselor | 225 Boston St, Lynn, MA 01904-3137 | 2019-10-24 |
| 1710520796 | Stephanie Pelletier | Case Manager/Care Coordinator | 225 Boston St, Lynn, MA 01904-3137 | 2019-10-23 |
| 1497222574 | Elvira Minasyan | Nurse Practitioner | 225 Boston St, Lynn, MA 01904-3137 | 2018-10-26 |
| 1477725844 | Dr. Mark E. Wilner, Dds | Dentist | 225 Boston St, Suite 207, Lynn, MA 01904-3137 | 2008-03-26 |
| 1124299060 | Stuart G Merle & Alan Zicherman PC | Dentist | 225 Boston St, Lynn, MA 01904-3137 | 2008-03-19 |
| 1417130584 | Masahisa Hijikata, Md, PC | Urology | 225 Boston St, Suite 206, Lynn, MA 01904-3137 | 2007-12-12 |
| 1649392416 | Primary Care North PC | Internal Medicine | 225 Boston St, Suite 204, Lynn, MA 01904-3137 | 2007-04-04 |
| 1467597492 | Nancy-ray Wright | Clinical Nurse Specialist | 225 Boston St, Suite 202, Lynn, MA 01904-3137 | 2007-02-20 |
| 1427079102 | Mark Edward Wilner | Dentist | 225 Boston St, Lynn, MA 01904 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546991 | Dorothy Perry | Social Worker | Bayridge Hospital 60 Granite St, Lynn, MA 01904 | 2018-07-30 |
| 1700301876 | Chris-ann Dawkins | Behavioral Analyst | 169 Den Quarry Road, Lynn, MA 01904 | 2017-08-09 |
| 1063953594 | Juli M Knight | Specialist/Technologist, Other | 9 Boston St, 2nd Floor, Lynn, MA 01904 | 2017-03-16 |
| 1396972832 | Ryan Gosselin | Internal Medicine | 496 Lynnfield St., Lynn, MA 01904 | 2009-06-11 |
| 1366645665 | Robert E Sloane Md PC | Surgery | 480 Lynnfield Street, Lynn East Medical Bldg, Lynn, MA 01904 | 2007-06-06 |
| 1881895290 | Joseph T. Pinho | Counselor | Children's Friends, 30 Boston St., Lynn, MA 01904 | 2007-05-31 |
| 1033271010 | Prabakar Thyagarajan | Psychiatry & Neurology | 60 Granite Street, Bayridge Hospital, Lynn, MA 01904 | 2006-12-15 |
| 1376616029 | Walter J Nalesnik Jr. | Internal Medicine | 225 Boston Street, 204, Lynn, MA 01904 | 2006-11-17 |
| 1568531515 | Kerry Ann Washburn | Counselor | 30 Boston Street, Children's Friend, Lynn, MA 01904 | 2006-11-06 |
| 1033121033 | Joseph A Wescott | Dentist | 341 Western Avenue, Lynn, MA 01904 | 2006-08-12 |
| Find all providers in zip 01904 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on NORTHEAST PHYSICIAN PRACTICE.
| 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.