North Shore Women'S Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

82013 Issued in MA

Legal business name

NORTH SHORE WOMEN'S CENTER

Practice address

480 Lynnfield St
Lynn, MA 01904-1419

Phone

(781) 595-4800

Fax

(781) 595-3843

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Tulio Gordon, MD

Title

Physician

Phone

(781) 595-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah S Wooten-Angelo, M.D.

  • Obstetrics & Gynecology Physician
  • Plymouth, MA
  • NPI 1275693772
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063629319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041419",
            "telephone_number": "781-595-4800",
            "fax_number": "781-595-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041419",
            "telephone_number": "781-595-4800",
            "fax_number": "781-595-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE WOMEN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "TULIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-595-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "82013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9783237",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Shore Adult Day Health Care Center LLC
• North Shore General and Vascular Associates P.C.
• North Shore Home Care Resources LLC
• North Shore Rehabilitation Associates Inc.
• North Shore Rehabilitation Associates Inc.
• Northeast Cardiology, Inc.
• Northeast Hospital Corporation
• Northeast Physician Practice
• Northeastern Counseling Associates
• Nova Healthcare Services LLC

• Medical Specialty Clinic/Center in Lynn, MA
• Providers in Lynn, MA by specialty
• Medical Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.