NEWTON WELLESLEY CARDIOLOGISTS, P.C. (NPI# 1104951474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104951474 |
| Entity Type | Organization |
| Organization Name | NEWTON WELLESLEY CARDIOLOGISTS, P.C. |
| Practice Address |
2000 Washington St Newton MA 02462-1650 |
| Mailing Address |
6 Lakeville Business Park Lakeville MA 02347-1234 |
| Practice Telephone | 6175271335 |
| Practice Fax Number | 6172449841 |
| Mailing Telephone | 5086754683 |
| Mailing Fax Number | 5086757905 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STACEY FRATES (ADMINISTRATOR) |
| Authorized Official Telephone | 5086754683 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS OF MA | M15390 | 01 |
| MA | 9766049 | 05 |
| Street Address |
2000 WASHINGTON ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952284 | Mitchell Abramson | Internal Medicine | 2000 Washington St, Suite 104, Blue Building, Newton, MA 02462-1650 | 2005-06-16 |
| 1023668209 | Christopher David Caissie | Physician Assistant | 2000 Washington St, Newton, MA 02462-1650 | 2019-09-18 |
| 1760905699 | Jacquelyn Kate Harrow | Internal Medicine | 2000 Washington St, Newton, MA 02462-1650 | 2017-07-23 |
| 1922531615 | Elizabeth Brooks | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-04-10 |
| 1801327648 | Kevin Patrick Mcdonnell | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-03-23 |
| 1750733382 | Jeffrey Mark Lingenfelter | Physician Assistant | 2000 Washington St, Suite 341 White Building, Newton, MA 02462-1650 | 2016-07-07 |
| 1538520713 | Johanna Geoghegan | Physician Assistant | 2000 Washington St, Blue 201, Newton, MA 02462-1650 | 2016-03-15 |
| 1689047193 | Saltzman Urological Associates | Pathology | 2000 Washington St, 660 Green, Newton, MA 02462-1650 | 2015-11-05 |
| 1225424591 | Cassandra Tang | Physician Assistant | 2000 Washington St, Suite 341, Newton, MA 02462-1650 | 2015-04-13 |
| 1346647815 | Berenice Vallette | Physician Assistant | 2000 Washington St, White Building Suite 341, Newton, MA 02462-1650 | 2014-11-29 |
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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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1639212038 | Arthur A Sasahara | Internal Medicine | The Courtyard #12, 1115 Beacon Street, Newton, MA 02461 | 2007-02-15 |
| 1417995721 | Randy J Averback | Internal Medicine | 500 Ward St, Newton, MA 02459-1136 | 2006-06-02 |
| 1790759561 | David S Buyer | Internal Medicine | 222 High St Ste 205, Newton, NJ 07860-9605 | 2006-02-16 |
| 1902068612 | Scott Schwarz | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9604 | 2008-06-25 |
| 1588723712 | Stefanos Parpos | Internal Medicine | 2000 Washington St, Suite 562, Green, Newton, MA 02462-1650 | 2006-12-06 |
| 1730139619 | Robert L. Masci | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9612 | 2006-05-11 |
| 1366492159 | Paul J. Owens | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9612 | 2006-05-11 |
| 1104875772 | Richard C. Redline | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9612 | 2006-05-09 |
| 1679522429 | Cardiology Associates of Sussex County, LLP | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9612 | 2006-05-09 |
| 1720050586 | James Wingate Todd | Internal Medicine | 2000 Washington St, Suite 403, Newton, MA 02462-1650 | 2006-02-06 |
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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.