Individual provider Active NPI

Anthony Justin Tomich, NP

  • Nurse Practitioner
  • Wilmington, MA
National Provider Identifier
1023493723
Registry record updated Jan 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2291127 Issued in MA
Practice address
222 Main St
Wilmington, MA 01887-2341
Phone
(866) 389-2727
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2291127 MA
Nurse Practitioner 363L00000X RN2291127 MA Primary

Addresses

Primary practice location

222 Main St
Wilmington, MA 01887-2341

Mailing address

222 Main St
Wilmington, MA 01887-2341
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002002072 MA Practitioner - Nurse Practitioner 3072821594 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of Massachusetts, LLCGroup PAC ID 2264594944, 106 clinicians

Practice addresses (Care Compare)

100 Worcester St
North Grafton, MA 01536-1024
Phone (866) 289-2727

142 Worcester Rd
Charlton, MA 01507-1244
Phone (866) 389-2727

222 Main St
Wilmington, MA 01887-2341
Phone (866) 389-2727

234 Washington St
Hudson, MA 01749-3735
Phone (866) 389-2727

24 W Main St
Northborough, MA 01532-1910
Phone (866) 389-2727

246 Mill St
Leominster, MA 01453-3310
Phone (866) 389-2727

311 Newbury St
Danvers, MA 01923-1027
Phone (866) 389-2727

344 Great Rd
Acton, MA 01720-4004
Phone (866) 389-2727

414 Union St
Ashland, MA 01721-2154
Phone (866) 389-2727

44 W Boylston St
Worcester, MA 01605-1261
Phone (866) 389-2727

5 Macy St
Amesbury, MA 01913-3706
Phone (866) 389-2727

501 Boston Post Rd
Sudbury, MA 01776-3335
Phone (866) 389-2727

67 D Main St
Medway, MA 02053-1831
Phone (866) 389-2727

68 Main St
Andover, MA 01810-3846
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2291127MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 8, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Jan 8, 2020 Accepting new patients

Locations

55 Fruit St
#110
Boston, MA 02114
Phone (617) 724-4100

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1023493723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872341",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872341",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMICH",
        "first_name": "ANTHONY",
        "middle_name": "JUSTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2291127",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2291127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

Verify at the official NPI Registry.