NPIMap

Organization Active NPI

Henry John Merola, M.D., PC

  • Internal Medicine Physician
  • Waltham, MA
National Provider Identifier
1023277183
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59659 Issued in MA
Legal business name
HENRY JOHN MEROLA, M.D., PC
Practice address
32 South St
Suite 205
Waltham, MA 02453-3594
Phone
(781) 894-8200
Fax
(781) 894-8202
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Henry John Merola, M.D.NPI 1902963986
Title
M.D.
Phone
(781) 894-8200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 59659 MA Primary

Addresses

Primary practice location

32 South St
Suite 205
Waltham, MA 02453-3594

Mailing address

32 South St
Suite #205
Waltham, MA 02453-3594
Phone (781) 894-8200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1023277183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "address_2": "SUITE #205",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533594",
            "telephone_number": "781-894-8200",
            "fax_number": "781-894-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "address_2": "SUITE 205",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533594",
            "telephone_number": "781-894-8200",
            "fax_number": "781-894-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY JOHN MEROLA, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "MEROLA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "781-894-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.