NEWTON WELLESLEY PATHOLOGY ASSOCIATES, PC (NPI# 1841256195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841256195 |
| Entity Type | Organization |
| Organization Name | NEWTON WELLESLEY PATHOLOGY ASSOCIATES, PC |
| Practice Address |
2014 Washington St Department of Pathology Newton MA 02462-1607 |
| Mailing Address |
Po Box 490940 Lawrenceville GA 30049-0016 |
| Practice Telephone | 6172436140 |
| Practice Fax Number | 6172435809 |
| Mailing Telephone | 7702374500 |
| Mailing Fax Number | 7702374539 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | MICHAEL JAY ROSS (SECRETARY, BOARD OF DIRECTORS) |
| Authorized Official Telephone | 6172436140 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9735861 | 05 |
| Street Address |
2014 WASHINGTON ST DEPARTMENT OF PATHOLOGY |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818721 | Judy Z Yang | Internal Medicine | 2014 Washington St, Newton, MA 02462-1607 | 2005-11-18 |
| 1952916611 | Deanna Elizabeth Fiore | Nurse Practitioner | 2014 Washington St, Newton, MA 02462-1699 | 2020-09-10 |
| 1730799040 | Enoch Anyanwu | Registered Nurse | 2014 Washington St, Newton, MA 02462-1607 | 2020-08-03 |
| 1821627399 | Saghar Bagheri | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-06 |
| 1356970206 | Alexandra Beling | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-03 |
| 1790314656 | Micaela Rose Nannery | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-03 |
| 1689202038 | Susruthi Rajanala | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-31 |
| 1649808213 | Mary E. Awad | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| 1568090108 | Damir Ljuboja | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| 1417585076 | Steven Nicholas Baldassano | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194061457 | Carol J Chirolas | Pathology | 199 Concord St, Newton, MA 02462-1325 | 2012-12-13 |
| 1598712382 | Lalita Gandbhir | Pathology | 215 Hartman Rd, Newton, MA 02459-2814 | 2006-05-28 |
| 1942466768 | Sussex Pathology, LLC | Pathology | 175 High St, Newton, NJ 07860-1004 | 2008-07-31 |
| 1659576197 | Kenan Joel Sauder | Pathology | 2014 Washington St, Newton, MA 02462-1607 | 2007-06-15 |
| 1013057454 | Todd Earl Abbott | Pathology | 2014 Washington St, Newton-wellesley Hospital, Newton, MA 02462-1607 | 2007-02-07 |
| 1396894143 | Rebecca B. Vergara | Pathology | 175 High St, Newton, NJ 07860 | 2007-01-10 |
| 1902910441 | Michael J Misialek | Pathology | 2014 Washington St, Newton, MA 02462-1607 | 2006-08-19 |
| 1164469110 | Nicole A Mihok | Pathology | 2014 Washington Street, Newton-wellesley Hospital, Newton, MA 02462 | 2006-05-31 |
| 1609832989 | Michael Jay Ross | Pathology | 2014 Washington St, Department of Pathology, Newton, MA 02462-1607 | 2006-04-25 |
| 1275595779 | Tarik Kumral | Pathology | 175 High St, Newton, NJ 07860-1004 | 2006-04-03 |
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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.