LISA NGU (NPI# 1063990950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063990950 |
| Entity Type | Individual |
| Full Name | LISA NGU |
| Practice Address |
495 Western Ave Brighton MA 02135-1007 |
| Practice Telephone | 6177830500 |
| Mailing Telephone | 6177830500 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2312225 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1575 Blue Hill Ave, Boston, MA 021262122 | 6172960061 |
| Street Address |
495 WESTERN AVE |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487664884 | Charles River Community Health, Inc | Clinic/Center | 495 Western Ave, Brighton, MA 02135-1007 | 2006-08-08 |
| 1942834858 | Olga Mclellan | Nurse Practitioner | 495 Western Ave, Brighton, MA 02135-1007 | 2020-02-29 |
| 1558927624 | Michael Frank Arroyo | Technician/Technologist | 495 Western Ave, Brighton, MA 02135-1007 | 2019-05-14 |
| 1447814066 | Maria Jose Mora | Dentist | 495 Western Ave, Brighton, MA 02135-1007 | 2019-04-29 |
| 1669969143 | Jennifer Hyde | Technician/Technologist | 495 Western Ave, Brighton, MA 02135-1007 | 2018-04-19 |
| 1649797911 | Mary Christine Rowan | Nurse Practitioner | 495 Western Ave, Brighton, MA 02135-1007 | 2017-08-27 |
| 1386170025 | Eric Joshua Miller | Dentist | 495 Western Ave, Brighton, MA 02135-1007 | 2017-05-01 |
| 1730624537 | Dennis Cabral | Technician/Technologist | 495 Western Ave, Brighton, MA 02135-1007 | 2017-01-03 |
| 1891241816 | Charles River Community Health Inc | Pharmacy | 495 Western Ave, Brighton, MA 02135-1007 | 2016-08-30 |
| 1104370345 | Amy Hanson | Nurse Practitioner | 495 Western Ave, Brighton, MA 02135-1007 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821318676 | Judith Jo Collica | Nurse Practitioner | 1021 Karl Greimel Dr Ste 100, Brighton, MI 48116-9465 | 2010-06-03 |
| 1841341559 | Tatum Sinclair | Nurse Practitioner | 77 Warren St Bldg 4, Brighton, MA 02135-3601 | 2007-01-16 |
| 1417921396 | Marian Amaranto | Nurse Practitioner | 183 S 18th Ave, Brighton, CO 80601-2472 | 2006-02-15 |
| 1649809765 | Aimee Carew- Lyons | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2020-04-02 |
| 1730726126 | Alyssa Sue Fraser | Nurse Practitioner | 2305 Genoa Business Park Dr Ste 240, Brighton, MI 48114-7005 | 2019-12-04 |
| 1356903991 | Mary Laurette Hughes | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2019-07-03 |
| 1467828343 | Bipin Desai Md | Nurse Practitioner | 136 Kissane Ave, Brighton, MI 48116-2467 | 2015-08-14 |
| 1245653005 | Stephanie Louise Hopkins | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2014-01-30 |
| 1811322373 | Marissa Ann Udelsman | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2013-09-03 |
| 1265865091 | Amelia Joy Massimini | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2013-08-15 |
| Find all providers in BRIGHTON | ||||
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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.