Eza Healthcare Management, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EZA HEALTHCARE MANAGEMENT, LLC

Practice address

244.1 Smith Street
Lowell, MA 01851

Phone

(617) 407-2112

NPI assigned

Nov 3, 2009

Last updated

Nov 3, 2009By 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

Dmitry Burshteyn

Title

Consultant

Phone

(617) 633-7121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1144557737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 SMITH STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244.1 SMITH STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01851",
            "telephone_number": "617-407-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZA HEALTHCARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "BURSHTEYN",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "617-633-7121"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Ewiah
• Excel Dental of Lowell LLC
• Excel Dental, P.C. (Excel Dental)
• Extended Family of Lowell LLC
• Gerard F Eyssallenne
• Thomas R Fabello, OD
• Tanya L Fabiano
• Thomas William Fabiano, STUDENT INTERN
• Hailey A Facendola, DPT
• Cathy Fadden

• Adult Day Care Clinic/Center in Lowell, MA
• Providers in Lowell, MA by specialty
• Adult Day Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.