NPIMap

Organization Active NPI

Activmed Practices & Research, LLC

  • Research Clinic/Center
  • Methuen, MA
National Provider Identifier
1073103644
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
ACTIVMED PRACTICES & RESEARCH, LLC
Practice address
421 Merrimack St Ste 203
Methuen, MA 01844-5864
Phone
(978) 655-7155
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Terry Stubbs
Title
Ceo
Phone
(978) 992-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

421 Merrimack St Ste 203
Methuen, MA 01844-5864

Mailing address

421 Merrimack St Ste 203
Methuen, MA 01844-5864
Phone (978) 655-7155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1073103644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MERRIMACK ST STE 203",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445864",
            "telephone_number": "978-655-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MERRIMACK ST STE 203",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445864",
            "telephone_number": "978-655-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVMED PRACTICES & RESEARCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-992-4522"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.