Newton Wellesley Primary Care P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NEWTON WELLESLEY PRIMARY CARE P C

Practice address

40 Walnut St
Wellesley, MA 02481-2173

Phone

(781) 943-3000

Fax

(781) 943-3001

NPI assigned

Sep 13, 2006

Last updated

Mar 9, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William B Holgerson, MDNPI 1356445829

Title

President

Phone

(781) 235-1224

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: gervais.pamela.fh@direct.partners.masshiway.net
• Direct secure messaging: holgerson.william.nwpc@direct.partners.masshiway.net
• Direct secure messaging: kranendonk.stacey.nwh@direct.partners.masshiway.net
• Direct secure messaging: legare.edward.nwpc@direct.partners.masshiway.net
• Direct secure messaging: liaw.william.nwpc@direct.partners.masshiway.net
• Direct secure messaging: mei.sabreena.nwpc@direct.partners.masshiway.net
• Direct secure messaging: meyerhardt.liza.nwh@direct.partners.masshiway.net
• Direct secure messaging: mistry.megan.nwh@direct.partners.masshiway.net
• Direct secure messaging: pao.charles.nwpc@direct.partners.masshiway.net
• Direct secure messaging: rabideau.laura.nwpc@direct.partners.masshiway.net
• Direct secure messaging: richard.jeanne.nwpc@direct.partners.masshiway.net
• Direct secure messaging: serrano.eric.nwpc@direct.partners.masshiway.net
• Direct secure messaging: stafford.lillian.nwh@direct.partners.masshiway.net
• Direct secure messaging: wahi.madhu.nwpc@direct.partners.masshiway.net
• Direct secure messaging: wendt.melissa.nwh@direct.partners.masshiway.net

Practitioners 17

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.

• Kathryn M Deanzeris, M.D.

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1922056035
  Medicare reassignment Care Compare group NPD
• William C Liaw, M.D.

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1912954611
  Medicare reassignment Care Compare group NPD
• Charles C Pao, MD

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1063516573
  Medicare reassignment Care Compare group NPD
• David Polman

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1093393274
  Medicare reassignment Care Compare group NPD
• Jeanne Richard, MD

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1306940838
  Medicare reassignment Care Compare group NPD
• Eric A Serrano, MD

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1295803146
  Medicare reassignment Care Compare group NPD
• Lillian Stafford, PA

  • Internal Medicine Physician
  • Newton, MA
  • NPI 1285772871
  Medicare reassignment Care Compare group
• William B Holgerson, MD

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1356445829
  NPD Authorized official
• Svetlin H Dinovski, M.D.

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1093027062
  Care Compare group NPD (past)
• Stacey Giangregorio, PA-C

  • Physician Assistant
  • Needham, MA
  • NPI 1801593165
  NPD
• Edward Joseph Legare, M.D.

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1528084191
  NPD
• Sabreena Mei, PA-C

  • Physician Assistant
  • Weston, MA
  • NPI 1700507613
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1003911579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812173",
            "telephone_number": "781-943-3000",
            "fax_number": "781-943-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812173",
            "telephone_number": "781-943-3000",
            "fax_number": "781-943-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON WELLESLEY PRIMARY CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "HOLGERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-235-1224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH  GROUP#",
            "identifier": "9777644",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP #",
            "identifier": "607309",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD NEWTON GRP#",
            "identifier": "M16342",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newton Wellesley Ambulatory Services (Newton-Wellesley Sports Medicine DME)
• Newton Wellesley Dental Group
• Newton Wellesley Dermatology Associates
• Newton Wellesley Eye Associates, P.C.
• Newton Wellesley Interventional Spine LLC
• Newton-Wellesley Orthopedics Physical Therapy PC
• Newton-Wellesley Psychiatry
• David Allen Newton, DC
• Newtoneye PC
• Anli Xiang Nguyen, FNP-BC

• Internal Medicine Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.

Verify at the official NPI Registry.