Organization Active NPI

Northeast Medical Associates, PC

  • Internal Medicine Physician
  • Andover, MA
National Provider Identifier
1053455907
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTHEAST MEDICAL ASSOCIATES, PC
Practice address
5 Beacon St
Andover, MA 01810-2835
Phone
(978) 388-6900
Fax
(888) 541-7880
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Sayeeda Rahman, M.D.
Title
President
Phone
(978) 388-6900

Specialties & licenses 1

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

Addresses

Primary practice location

5 Beacon St
Andover, MA 01810-2835

Mailing address

5 Beacon St
Andover, MA 01810-2835
Phone (978) 762-4888

Other identifiers 1

IdentifierTypeStateIssuer
110067579AMedicaidMA

National Provider Directory

National Provider Directory

Locations

630 Turnpike St
North Andover, MA 01845
Phone (978) 685-9600

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1053455907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEACON ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102835",
            "telephone_number": "978-762-4888",
            "fax_number": "888-541-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEACON ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102835",
            "telephone_number": "978-388-6900",
            "fax_number": "888-541-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "SAYEEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-388-6900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110067579A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.