NORTH SHORE DIAGNOSTICS, INC. (NPI# 1902931629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902931629 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE DIAGNOSTICS, INC. |
| Practice Address |
2 Rehabilitation Way Woburn MA 01801-6003 |
| Mailing Address |
Po Box 2645 Woburn MA 01888-1245 |
| Practice Telephone | 7817297383 |
| Mailing Telephone | 7817297383 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | DR. RONALD L. NATH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7817297383 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | 036969 | 01 |
| Street Address |
2 REHABILITATION WAY |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428411 | Emily G Lowry | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2005-09-23 |
| 1710509930 | Jacqueline Lyman | Physical Therapist | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2020-05-11 |
| 1366009540 | Alla Tibbetts PC | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2019-05-23 |
| 1144732868 | Wlb Rehabilitation Medicine Associates LLC | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801 | 2017-11-03 |
| 1598276479 | Emily Frances Slowik | Nurse Practitioner | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2017-10-18 |
| 1518486984 | Lorimer M Kaplan | Occupational Therapist | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2017-09-16 |
| 1811424120 | Anjum Baqai Md Associates Pllc | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2017-05-17 |
| 1013366624 | Hudgens Pllc | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2016-06-06 |
| 1285083972 | Jason Grunes Pllc | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2016-06-03 |
| 1366809881 | Destiny N Murphy Neurology Consulting LLC | Psychiatry & Neurology | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003934597 | Winmar Pulmonary Associates Ltd | Physiological Laboratory | 800 W Cummings Park, Suite#2000, Woburn, MA 01801-6372 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629545934 | Rmx Monitoring LLC. | Physiological Laboratory | 113 Tolman Ave Ste 1, Leominster, MA 01453-1912 | 2018-10-25 |
| 1265973697 | Solutions for Better Sleep, LLC | Physiological Laboratory | 233 Madison Pl, Southborough, MA 01772-2089 | 2017-03-18 |
| 1548659253 | Arterial Health of Ma, LLC | Physiological Laboratory | 470 Atlantic Ave, 4th Floor, Boston, MA 02210-2208 | 2015-01-19 |
| 1619097805 | Arun Chaudhury | Physiological Laboratory | West Roxbury Va Medical Center, 1400 Vfw Parkway, Room 2b101, West Roxbury, MA 02132 | 2007-03-30 |
| 1740347475 | Diagnostic Medical Systems Inc | Physiological Laboratory | 184 North Main St, Attleboro, MA 02703 | 2007-01-02 |
| 1063403731 | First-call Medical Inc | Physiological Laboratory | 28 Andover St, Ste 200, Andover, MA 01810-4888 | 2005-11-02 |
| 1538513106 | Braincare, LLC | Physiological Laboratory | 101 Federal St, Ste 1900, Boston, MA 02110-1817 | 2016-04-20 |
| 1841561214 | Medx Ultrasound, Inc. | Physiological Laboratory | 225 Rockland St, New Bedford, MA 02740-3136 | 2012-01-18 |
| 1114232261 | Radiology Associates of Norwood Inc | Physiological Laboratory | 800 Washington St, Norwood, MA 02062-3487 | 2010-08-13 |
| 1083865570 | Navix Diagnostix, Inc. | Physiological Laboratory | 10 Cordage Park Cir, Plymouth, MA 02360-7318 | 2008-10-02 |
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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.