Active NPI
Gardner Family Medicine, Inc.
- Physician Assistant
- Gardner, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 214124
- Legal business name
- GARDNER FAMILY MEDICINE, INC.
- Practice address
- 57 City Hall Ave
Gardner, MA 01440-2614 - Phone
- (978) 630-3862
- Fax
- (978) 630-4176
- NPI assigned
- Jun 15, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Ryan, DO
- Title
- President
- Phone
- (978) 630-3862
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 214124 | MA | Primary |
| Family Medicine Physician | 207Q00000X | 2141244 | MA |
Addresses
Primary practice location
57 City Hall Ave
Gardner, MA 01440-2614
Mailing address
57 City Hall Ave
Gardner, MA 01440-2614
Phone (978) 630-3862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0978797 | Gardner Family Medicine | Provider-performed microscopy | Oct 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
57 City Hall Ave
Gardner, MA 01440
Phone (978) 630-3862
Interoperability endpoints
- https://api.platform.athenahealth.com/1039/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Gardner, MA
- NPI 1467427708
-
- Family Nurse Practitioner
- Gardner, MA
- NPI 1992201925
-
- Medical Physician Assistant
- Gardner, MA
- NPI 1962577262
-
- Physician Assistant
- Gardner, MA
- NPI 1639442825
-
- Family Nurse Practitioner
- Gardner, MA
- NPI 1104541432
-
- Podiatrist
- Gardner, MA
- NPI 1730225582
-
- Internal Medicine Physician
- Leominster, MA
- NPI 1013903210
-
- Family Medicine Physician
- Gardner, MA
- NPI 1386610863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1003011594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 CITY HALL AVE",
"city": "GARDNER",
"state": "MA",
"postal_code": "014402614",
"telephone_number": "978-630-3862",
"fax_number": "978-630-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 CITY HALL AVE",
"city": "GARDNER",
"state": "MA",
"postal_code": "014402614",
"telephone_number": "978-630-3862",
"fax_number": "978-630-4176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDNER FAMILY MEDICINE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-630-3862",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "214124",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "2141244",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardner, MA
- Gardner Dental Group
- Gardner Emergency Medical Services Inc
- Gardner Eye Associates Inc
- Gardner Family Chiropractic Inc.
- Gardner Family Dental Care, LLC
- Gardner Family Pharmacy Inc
- Gardner Operations LLC
- Gardner Smiles PLLC (Gardner Smiles)
- Gardner Visiting Nursing Association Inc
- Francis Anthony Garofalo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.