Concord River Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

151116 Issued in MA

Legal business name

CONCORD RIVER MEDICAL ASSOCIATES PC

Practice address

505 Middlesex Tpke Unit 3
Billerica, MA 01821-3578

Phone

(978) 663-3410

NPI assigned

Nov 25, 2006

Last updated

Oct 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shazneen Keyamanesh Eisner, M.D.NPI 1306911573

Title

President

Phone

(978) 663-3410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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.

• Shazneen Keyamanesh Eisner, M.D.

  • Internal Medicine Physician
  • Billerica, MA
  • NPI 1306911573
  Medicare reassignment NPD Authorized official
• Lawrence M. Newman, MD

  • Internal Medicine Physician
  • Wellfleet, MA
  • NPI 1548229727
  NPD (past)

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1114093978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 709",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035709",
            "telephone_number": "978-663-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MIDDLESEX TPKE UNIT 3",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213578",
            "telephone_number": "978-663-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD RIVER MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-25",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "EISNER",
        "authorized_official_first_name": "SHAZNEEN",
        "authorized_official_middle_name": "KEYAMANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-663-3410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "151116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Collins, M.A., CEIS
• Kirsten Collins, MA
• Megan Davis Collins, JD, MSW
• Companion Wheels LLC
• Compassion First Behavioral Health LLC
• Tara Forsyth Connell
• Patrick Conway
• Corrections - Comprehensive Treatment Centers, LLC (Matador Comprehensive Treatment Center)
• Caitlyn Cotreau, LMHC
• Michael Croke

• Internal Medicine Physician in Billerica, MA
• Providers in Billerica, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.