NORTHEAST HOSPITAL CORPORATION (NPI# 1043328685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043328685 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HOSPITAL CORPORATION |
| Other Organization Name | CENTER FOR HEALTHY AGING |
| Practice Address |
480 Maple St Center for Healthy Aging Danvers MA 01923-4065 |
| Mailing Address |
85 Herrick Street Medical Staff Office Beverly MA 01915 |
| Practice Telephone | 8664793302 |
| Practice Fax Number | 9789217048 |
| Mailing Telephone | 9789223000 |
| Mailing Fax Number | 9789217048 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | MR. DENIS CONROY (CEO) |
| Authorized Official Telephone | 9789223000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center for Healthy Aging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396991709 | Northeast Hospital Corporation | Clinic/Center | 85 Herrick Street, Beverly, MA 01915 | 2008-08-18 |
| 1871755132 | Northeast Hospital Corporation | Internal Medicine | 85 Herrick Street, Medical Staff Office, Beverly, MA 01915 | 2008-06-27 |
| 1508052218 | Northeast Hospital Corporation | General Acute Care Hospital | 480 Maple St, Center for Healthy Aging, Danvers, MA 01923-4065 | 2007-09-18 |
| 1609085836 | Northeast Hospital Corporation | Emergency Medicine | 85 Herrick St, Medical Staff Office, Beverly, MA 01915-1790 | 2007-05-22 |
| 1164547063 | Northeast Hospital Corporation | Internal Medicine | 480 Maple St, Center for Healthy Aging, Danvers, MA 01923-4065 | 2007-03-20 |
| 1073658225 | Northeast Hospital Corporation | Clinic/Center | 600 Cummings Center, Suite 176x, Beverly, MA 01915 | 2007-02-21 |
| 1285776229 | Northeast Hospital Corporation | Psychiatric Hospital | 60 Granite St, Bayridge Hospital, Lynn, MA 01904-2915 | 2007-02-13 |
| 1407827710 | Northeast Hospital Corporation | Psychiatric Unit | 85 Herrick Street, Beverly, MA 01915 | 2006-01-27 |
| 1316917941 | Northeast Hospital Corporation | Psychiatric Unit | 85 Herrick St, Beverly Hospital, Beverly, MA 01915-1776 | 2006-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | NORTHEAST HOSPITAL CORPORATION | 85 Herrick Street, Beverly, MA 01915 |
| Street Address |
480 MAPLE ST CENTER FOR HEALTHY AGING |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-4065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041268 | Beverly Anesthesia Associates, Inc. | Anesthesiology | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2005-08-26 |
| 1235776998 | Meghan Elizabeth Fisher | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2019-12-02 |
| 1386161933 | Shelby Kaubris | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2017-08-24 |
| 1285159400 | Melanie L Klein | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2017-08-09 |
| 1093239360 | Michael S. Gordon M.d. | Internal Medicine | 480 Maple St, Danvers, MA 01923-4065 | 2017-07-28 |
| 1033650056 | Pain Modulation Associates Pllc | Anesthesiology | 480 Maple St, Pain Management Center, Danvers, MA 01923-4065 | 2017-03-09 |
| 1750765046 | Heidi Prieur | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2015-07-16 |
| 1235522087 | Christie Ann Ellis | Nurse Anesthetist, Certified Registered | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2015-03-17 |
| 1558701789 | Pain Management Centers of New England, LLC | Anesthesiology | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2013-07-02 |
| 1679916142 | Patrick J Keating | Nurse Anesthetist, Certified Registered | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801357454 | Kelly Dumay Pogeyed Tuguinay | Clinic/Center | 2 Mcdewell Ave Apt 17, Danvers, MA 01923-3335 | 2019-03-27 |
| 1588919039 | Catholic Charities | Clinic/Center | 152 Sylvan St, Danvers, MA 01923-3558 | 2012-07-20 |
| 1770797946 | Sabino Chiropractic Office, Inc. | Clinic/Center | 7 Federal St, Suite 12, Danvers, MA 01923-3620 | 2007-05-09 |
| 1477507895 | Comeau Health Care Associates PC | Clinic/Center | 194 North St, Danvers, MA 01923-1242 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221014 | The Wellness Point | Clinic/Center | 569a Springfield St, Feeding Hills, MA 01030-2105 | 2020-09-24 |
| 1629689153 | Be Well Medica, LLC | Clinic/Center | 38 Willard Grant Rd, Sudbury, MA 01776-1035 | 2020-08-10 |
| 1649896283 | Community Health Center of Cape Cod, Inc. | Clinic/Center | 90 Route 6a, Sandwich, MA 02563-5301 | 2020-06-19 |
| 1194344713 | Snooze Laboratories, Inc | Clinic/Center | 122 Chestnut St Apt 101, Springfield, MA 01103-1541 | 2020-04-14 |
| 1861024457 | Treehouse Center for Sensory Integration | Clinic/Center | 19 Muzzey St # L20, Lexington, MA 02421-5256 | 2020-02-11 |
| 1982262184 | Nationwide Health Advocates LLC | Clinic/Center | 5 Pleasant St Ste 1, Methuen, MA 01844-3195 | 2019-06-03 |
| 1538622436 | Onduo Professionals of Texas, P.a. | Clinic/Center | 55 Chapel St Ste 200, Newton, MA 02458-1070 | 2019-04-09 |
| 1760949192 | Elizabeth Apkin Psyd LLC | Clinic/Center | 1577 Beacon St Ste D, Brookline, MA 02446-4602 | 2019-02-21 |
| 1578027975 | Chinne Health Systems LLC | Clinic/Center | 330 Lynnway Ste 112, Lynn, MA 01901-1706 | 2019-01-30 |
| 1922571827 | Millis Acupuncture Center LLC | Clinic/Center | 969 Main St Unit 6, Millis, MA 02054-1555 | 2019-01-03 |
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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.