NORTHEAST MEDICAL GROUP, INC. (NPI# 1578707162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578707162 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MEDICAL GROUP, INC. |
| Other Organization Name | NORTHEAST MEDICAL GROUP |
| Practice Address |
275 Varnum Ave Suite # 108 Lowell MA 01854-2141 |
| Mailing Address |
275 Varnum Avenue Suite # 108 Lowell MA 01854-2117 |
| Practice Telephone | 9787104242 |
| Practice Fax Number | 9787104202 |
| Mailing Telephone | 9787104242 |
| Mailing Fax Number | 9787104202 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2011-10-20 |
| Authorized Official Name | DR. SACHIN B PATEL (PRESIDENT) |
| Authorized Official Telephone | 9787104242 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 228152 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS & TUFTS MEDICARE PREFFERED | 465583 | 01 |
| MA | HARVARD PILGRIM HEALTH CARE | AA67427 | 01 |
| MA | BLUECROSS-BLUESHIELD | J40434 | 01 |
| MA | 2123649 | 05 | |
| RAIL ROAD MEDICARE | P00440617 | 01 | |
| MA | CIGNA & HEALTHSOURCE | 1023466 | 01 |
| MA | ATENA | 7667786 | 01 |
| MA | FALLON | 117524 | 01 |
| MA | NETWORK HEALTH | 96037302 | 01 |
| Other Name | Type Code |
|---|---|
| Northeast Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043278351 | Northeast Medical Group, Inc. | Social Worker | 226 Mill Hill Avenue, 3rd Flr, Bridgeport, CT 06610 | 2006-05-03 |
| 1861514457 | Northeast Medical Group, Inc. | Clinic/Center | 501 Kings Hwy E, Suite 105, Fairfield, CT 06825-4867 | 2007-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Northeast Medical Group, Inc. | 99 Hawley Lane, Stratford, CT 06614 |
| System for Award Management (SAM) Entities | NORTHEAST MEDICAL GROUP, INC. | 99 Hawley Ln Fl 3, Stratford, CT 06614-1202 |
| Street Address |
275 VARNUM AVE SUITE # 108 |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688323 | Lung Specialists of Merrimack | Internal Medicine | 275 Varnum Ave, Suite 203, Lowell, MA 01854-2109 | 2005-09-09 |
| 1942780341 | Heidi Parker | Social Worker | 275 Varnum Ave, Lowell, MA 01854-2141 | 2018-08-16 |
| 1467968693 | Catherine E. Hermann | Nurse Practitioner | 275 Varnum Ave, 204, Lowell, MA 01854-2141 | 2017-12-26 |
| 1619419082 | The Practice - Ob/gyn, P.C. | Obstetrics & Gynecology | 275 Varnum Ave, 103, Lowell, MA 01854-2141 | 2016-11-16 |
| 1124486170 | Elise Miles | Nurse Practitioner | 275 Varnum Ave, Suite 201, Lowell, MA 01854-2141 | 2016-02-05 |
| 1518382571 | Michelle Salvato Scola | Nurse Practitioner | 275 Varnum Ave, Suite 201, Lowell, MA 01854-2141 | 2014-02-27 |
| 1124458120 | Lung Specialists of Merrimack | Internal Medicine | 275 Varnum Ave, Suite 203, Lowell, MA 01854-2141 | 2013-11-13 |
| 1639427206 | Eric R Galardi | Nurse Practitioner | 275 Varnum Ave, Suite 201, Lowell, MA 01854-2141 | 2012-08-29 |
| 1326333543 | Francis Paul Magro | Internal Medicine | 275 Varnum Ave, Suite 203, Lowell, MA 01854-2141 | 2011-06-15 |
| 1124311006 | Anna Riera | Nurse Practitioner | 275 Varnum Ave, Suite 201, Lowell, MA 01854-2141 | 2011-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| 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 |
|---|---|---|---|---|
| 1376006908 | Joshi Medical Services, PC | Internal Medicine | 16 Pine St Ste 4, Lowell, MA 01851-3100 | 2019-04-10 |
| 1588181259 | Katelyn Elizabeth Burke | Internal Medicine | 33 Bartlett St Ste 504, Lowell, MA 01852-1319 | 2017-08-24 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1356642862 | Royal Care Medical Center Inc | Internal Medicine | 151 Warren St, Lowell, MA 01852-2647 | 2010-11-15 |
| 1710163837 | Mohammad Samir Al-kharrat | Internal Medicine | 17648 Morse St, Lowell, IN 46356-1420 | 2008-01-18 |
| 1467647024 | Nafees F Khusro | Internal Medicine | 1230 Bridge Street, Medical Center of Greater Lowell, Lowell, MA 02026-6838 | 2007-09-07 |
| 1932232857 | Seema Gupta | Internal Medicine | 12 Wood St, Lowell, MA 01851-1532 | 2007-03-13 |
| 1386787844 | Ilene Sandra Cohen | Internal Medicine | 55 Technology Dr, Lowell, MA 01851-5203 | 2007-02-15 |
| 1811905961 | Ajay Nanavati | Internal Medicine | 275 Varnum Ave Ste 201, Riverside Medical Group, Lowell, MA 01854 | 2006-08-04 |
| 1053346692 | Mill City Medical Group Ltd | Internal Medicine | 45 Palmer Street, Lowell, MA 01852 | 2006-07-12 |
| Find all providers in LOWELL | ||||
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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.