Organization Active NPI

Susan Auerbach, M.D., P.C.

  • Internal Medicine Physician
  • Woburn, MA
National Provider Identifier
1053452268
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53943 Issued in MA
Legal business name
SUSAN AUERBACH, M.D., P.C.
Practice address
18 Commerce Way
Suite 2650
Woburn, MA 01801-1051
Phone
(781) 933-8060
Fax
(781) 933-8067
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Dr. Susan Auerbach-Ferdman, M.D.NPI 1447399928
Title
President
Phone
(781) 933-8060

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 53943 MA Primary

Addresses

Primary practice location

18 Commerce Way
Suite 2650
Woburn, MA 01801-1051

Mailing address

18 Commerce Way
Suite 2650
Woburn, MA 01801-1051
Phone (781) 933-8060

Other identifiers 1

IdentifierTypeStateIssuer
9730010MedicaidMA

National Provider Directory

National Provider Directory

Locations

18 Commerce Way
Ste 2650
Woburn, MA 01801
Phone (781) 933-8060

Practitioners & affiliated clinicians

Practitioners 2

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1053452268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 COMMERCE WAY",
            "address_2": "SUITE 2650",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011051",
            "telephone_number": "781-933-8060",
            "fax_number": "781-933-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COMMERCE WAY",
            "address_2": "SUITE 2650",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011051",
            "telephone_number": "781-933-8060",
            "fax_number": "781-933-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN AUERBACH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "AUERBACH-FERDMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-933-8060",
        "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": "53943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9730010",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.