MASSACHUSETTS MEDICAL & REHABILITATION INC (NPI# 1366889610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366889610 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS MEDICAL & REHABILITATION INC |
| Practice Address |
365 Ferry St Unit 5 Everett MA 02149-5645 |
| Practice Telephone | 6172944105 |
| Practice Fax Number | 6172944978 |
| Mailing Telephone | 6172944105 |
| Mailing Fax Number | 6172944978 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | RONY ETIENNE (PRESIDENT) |
| Authorized Official Telephone | 9548649105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
365 FERRY ST UNIT 5 |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-5645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891916375 | Christopher J Halligan | Chiropractor | 365 Ferry St, Unit #5, Everett, MA 02149-5645 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1063963353 | Fitchburgh Dentistry and Braces PC | Point of Service | 505 John Fitch Hwy, Fitchburg, MA 01420-8403 | 2016-10-21 |
| 1427506443 | Chrystal Jenkins | Point of Service | 26 Millett St, Unit #1, Gloucester, MA 01930-2846 | 2016-09-19 |
| 1083168132 | Mendon Family Dentistry | Point of Service | 14 Hastings St, Mendon, MA 01756-1079 | 2016-08-06 |
| 1770969024 | Beacon Aba Services | Point of Service | 5111 Avalon Dr, Weymouth, MA 02188-4614 | 2015-08-09 |
| 1679958573 | Any Lab Draw Now LLC | Point of Service | 64 Lambert Ave, Apt 1, Roxbury, MA 02119-1737 | 2015-07-21 |
| 1447637236 | Patrick Assioun Dmd PC | Point of Service | 150 Coolidge Rd, Berlin, MA 01503-1326 | 2015-04-30 |
| 1407257207 | New England Family Dentistry | Point of Service | 70 Westgate Drive, Brockton, MA 02301 | 2014-09-11 |
| 1588075550 | Seaport Chiropractic | Point of Service | 28 Bessom Street, Marblehead, MA 01945 | 2014-05-13 |
| Find all providers with the same taxonomy | ||||
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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.