NPIMap

Organization Active NPI

Lung Specialists of Merrimack

  • Sleep Medicine (Internal Medicine) Physician
  • Lowell, MA
National Provider Identifier
1124458120
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
71291 Issued in MA
Legal business name
LUNG SPECIALISTS OF MERRIMACK
Practice address
275 Varnum Ave
Suite 203
Lowell, MA 01854-2141
Phone
(978) 934-9220
Fax
(978) 453-7771
NPI assigned
Nov 13, 2013
Organization subpart
Yes
Parent organization
LUNG SPECIALISTS OF MERRIMACKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Denis Y Lin, MD
Title
Treasurer
Phone
(978) 934-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 71291 MA Primary

Addresses

Primary practice location

275 Varnum Ave
Suite 203
Lowell, MA 01854-2141

Mailing address

275 Varnum Ave
Suite 203
Lowell, MA 01854-2141
Phone (978) 934-9220

Other names 1

  • Lung Specialists of the Merrimack Valley, P.C. Doing business as

National Provider Directory

National Provider Directory
Part of
Lung Specialists of TH

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1124458120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "address_2": "SUITE 203",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542141",
            "telephone_number": "978-934-9220",
            "fax_number": "978-453-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "address_2": "SUITE 203",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542141",
            "telephone_number": "978-934-9220",
            "fax_number": "978-453-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG SPECIALISTS OF MERRIMACK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUNG SPECIALISTS OF MERRIMACK",
        "enumeration_date": "2013-11-13",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "978-934-9220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "71291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lung Specialists of the Merrimack Valley, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.