RENEE AVERSANO (NPI# 1962402255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962402255 |
| Entity Type | Individual |
| Full Name | RENEE AVERSANO |
| Credential | MD |
| Practice Address |
521 Mount Auburn St Ste 200 Watertown MA 02472-4191 |
| Practice Telephone | 6179236071 |
| Practice Fax Number | 6179236075 |
| Mailing Telephone | 6179236071 |
| Mailing Fax Number | 6179236075 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 77961 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3113817 | 05 |
| Street Address |
521 MOUNT AUBURN ST STE 200 |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159720 | Andrew Cutler | Internal Medicine | 521 Mount Auburn St, Ste 202, Watertown, MA 02472-4191 | 2005-07-28 |
| 1184182644 | Isabelle Obert | Physical Therapist | 521 Mount Auburn St, Watertown, MA 02472-4191 | 2019-03-04 |
| 1790930154 | Pediatric Dental Arts | Clinic/Center | 521 Mount Auburn St, Suite 104, Watertown, MA 02472-4191 | 2008-11-25 |
| 1982873469 | Allen K. Niukian D.m.d. | Dentist | 521 Mount Auburn St, Suite 102, Watertown, MA 02472-4191 | 2008-02-28 |
| 1790965028 | Matthew William Cerne | Counselor | 521 Mount Auburn St, Watertown, MA 02472-4191 | 2007-11-03 |
| 1467663690 | Larry A Weinrauch Md PC | Internal Medicine | 521 Mount Auburn St, Suite 204, Watertown, MA 02472-4191 | 2007-05-28 |
| 1609097336 | Caterina Raffa | Dentist | 521 Mount Auburn St, Suite 104, Watertown, MA 02472-4191 | 2007-05-01 |
| 1114143526 | Gail Corrigan | Social Worker | 521 Mount Auburn St, 109, Watertown, MA 02472-4191 | 2007-04-17 |
| 1861538936 | Khadjik Niukian | Dentist | 521 Mount Auburn St, Suite #102, Watertown, MA 02472-4191 | 2007-01-29 |
| 1871639955 | Allen Niukian | Dentist | 521 Mount Auburn St, #102, Watertown, MA 02472-4191 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376839563 | Terrell Yancy Johnson | Internal Medicine | 590 Main St Unit 205, Watertown, MA 02472-2117 | 2011-06-26 |
| 1235363490 | Ingrid Margot Hall | Internal Medicine | 629 Washington St Ste 2, Watertown, NY 13601-4083 | 2009-05-03 |
| 1467613356 | Maximilian Gomez-trochez | Internal Medicine | 51 Depot St Ste 202, Watertown, CT 06795-2667 | 2008-06-23 |
| 1700046083 | John P. Moschello, Md, PC | Internal Medicine | 594 Mount Fair Dr, Watertown, CT 06795-1661 | 2008-06-11 |
| 1265639116 | Steven Edward Shamosh | Internal Medicine | 169 Bishop St, Watertown, NY 13601-4603 | 2007-07-02 |
| 1831238625 | Wayne S Wild | Internal Medicine | 705 Mount Auburn Street, Tufts Health Plan, Watertown, MA 02472-1508 | 2007-02-06 |
| 1891843645 | Victor Peter Wasilauskas | Internal Medicine | 10 Brookview Cir, Watertown, CT 06795-1231 | 2007-01-08 |
| 1700964848 | Martha N Martents | Internal Medicine | 48 Summer Street, Suite 1, Watertown, MA 02472-3815 | 2006-11-02 |
| 1043396112 | Gerald George Fette | Internal Medicine | 246 Winding Brook Farm Road, Watertown, CT 06795-0144 | 2006-10-31 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| Find all providers in WATERTOWN | ||||
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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.