NPIMap

Organization Active NPI

Woburn Medical Associates PC

  • Internal Medicine Physician
  • Woburn, MA
National Provider Identifier
1104813476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WOBURN MEDICAL ASSOCIATES PC
Practice address
23 Warren Ave
Ste 100
Woburn, MA 01801-4979
Phone
(781) 933-1198
Fax
(781) 933-9246
NPI assigned
Oct 3, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Salvador Albanese, MDNPI 1437130630
Title
President
Phone
(781) 933-1198

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 Primary

Addresses

Primary practice location

23 Warren Ave
Ste 100
Woburn, MA 01801-4979

Mailing address

23 Warren Ave
Ste 100
Woburn, MA 01801-4979
Phone (781) 933-1198

Other identifiers 2

IdentifierTypeStateIssuer
600386OtherTUFTS
M15271OtherBCBS

National Provider Directory

National Provider Directory

Locations

23 Warren Ave
Ste 100
Woburn, MA 01801
Phone (781) 933-1198

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104813476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE",
            "address_2": "STE 100",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014979",
            "telephone_number": "781-933-1198",
            "fax_number": "781-933-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE",
            "address_2": "STE 100",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014979",
            "telephone_number": "781-933-1198",
            "fax_number": "781-933-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOBURN MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBANESE",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-933-1198",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "600386",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M15271",
            "state": null
        }
    ],
    "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 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.