Mass General Brigham Medical Group Northern Massachusetts Inc
Organization Active NPI Clinical Medical Laboratory · Haverhill, MA
NPI 1033066972 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1033066972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC
- Practice address
- 1 Park Way
3Rd FL
Haverhill, MA 01830-6220 - Phone
- (978) 521-3200
- NPI assigned
- Mar 11, 2026
- Organization subpart
- No
Authorized official
- Name
- Joanna Hazell
- Title
- Director, Rco Provider Enrollment
- Phone
- (781) 254-4854
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 817
-
Michael J Abele, MD
-
Howard E Abrams, MD
-
Caitlin Adams, M.D.
-
Valerie Rachelle Adjorlolo, APRN, NP-C
-
Mahmood Ahmad, M.D
-
John S Albin, MD, PHD
-
Katherine Helen Albutt, MD, MPH
-
Adrienne Allen, M.D., M.P.H.
-
Jessica Andrade, DO
-
Jason David Archibald, M.D.
-
Tara Armstrong, PA-C
-
Natasha Awais, M.D.
-
Andrew W Ayers, MD
-
Kayla Nichole Badt, PA-C
-
Kedar Bajwa, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260501000659 | MA | Part B Supplier - Independent Clinical Laboratory | 3577467224 | Practice locations: Haverhill, MA |
National Provider Directory
- Tax ID family
- Charter Prof SVCS Corp
Locations
399 Revolution Dr
Ste 580
Somerville, MA 02145
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
1 Park Way
3Rd FL
Haverhill, MA 01830-6220
Mailing address
399 Revolution Dr Ste 580
Somerville, MA 02145-1572
Phone (781) 254-4865
Other names
- MGB Pathology - PMA Lab
Other providers in Haverhill, MA
- Heather K Martyn
- Mass General Brigham Community Physicians Inc
- Mass General Brigham Community Physicians Inc
- Mass General Brigham Community Physicians Inc.
- Mass General Brigham Community Physicians Inc.
- Massachusetts Mobile Pet PC
- Claudine Massena
- Isabel Mateo
- Jason Mathai
- Lisa Matheson
All providers in Haverhill, MA · Clinical Medical Laboratory in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.