Active NPI
Namv MGBH LLC
Doing business as Nephrology Associates of the Merrimack Valley
- Nephrology Physician
- Tewksbury, MA
National Provider Identifier
1104689686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NAMV MGBH LLC
- Doing business as
- Nephrology Associates of the Merrimack Valley
- Practice address
- 600 Clark Rd FL 2
Tewksbury, MA 01876-1699 - Phone
- (978) 453-1811
- NPI assigned
- Feb 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Mesler, MD
- Title
- Authorized Official
- Phone
- (978) 453-1811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
600 Clark Rd FL 2
Tewksbury, MA 01876-1699
Mailing address
600 Clark Rd FL 2
Tewksbury, MA 01876-1699
Phone (978) 453-1811
Other names 1
- Nephrology Associates of the Merrimack Valley
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0710444 | Nephrology Assoc of Merrimack Valley | Provider-performed microscopy | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
600 Clark Rd
Fl 2
Tewksbury, MA 01876
Phone (978) 453-1811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712188800000",
"number": "1104689686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CLARK RD FL 2",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761699",
"telephone_number": "978-453-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CLARK RD FL 2",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761699",
"telephone_number": "978-453-1811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAMV MGBH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A",
"authorized_official_last_name": "MESLER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "978-453-1811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nephrology Associates of the Merrimack Valley",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.