Albert Ndivo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

271671 Issued in MA

Practice address

12 Methuen St
Lawrence, MA 01840-1772

Phone

(978) 620-1770

NPI assigned

Apr 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: albert.i.ndivo@lahey.org

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1043772114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 METHUEN ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401772",
            "telephone_number": "978-620-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 METHUEN ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401772",
            "telephone_number": "978-620-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDIVO",
        "first_name": "ALBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "271671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154302586",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Albert.I.Ndivo@lahey.org",
            "affiliation": "Y",
            "affiliationName": "Northeast Behavioral Health Corporation",
            "address_1": "12 Methuen St",
            "city": "Lawrence",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018401772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raju Neville Navaratnam, M.D.
• Brenda Del Carmen Navarro Galindo, MD
• Courtney L Navarro
• Isely Naveo
• Angel Nazario
• Daniel Neira, MS
• Diego Neira, PHYSICIAN ASSISTANT
• Nelson J Matos, D.O., P.L.L.C.
• Margaret Rita Nelson, FNP-BC
• Rui Neves

• Registered Nurse in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.