NPIMap

Organization Active NPI

Nemg Hingham

  • Adult Mental Health Clinic/Center
  • Norwell, MA
National Provider Identifier
1194472498
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEMG HINGHAM
Practice address
600 Cordwainer Dr Ste 102
Norwell, MA 02061-1644
Phone
(781) 987-3490
Fax
(877) 384-3122
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Mr. David Bassano
Title
Managing Partner/Coo
Phone
(239) 290-7297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

600 Cordwainer Dr Ste 102
Norwell, MA 02061-1644

Mailing address

210 Whiting St Ste 6
Hingham, MA 02043-3724
Phone (781) 987-3490

Other practice location 1

100 Medway Rd Ste 102&201
Milford, MA 01757-2923
Phone (508) 907-1500

Other names 1

  • NEMG Hingham Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220523000649 MA Part B Supplier - Clinic/Group Practice 7810374360 Receives reassigned benefits from 3 practitioners
Practice locations: Norwell, MA; Milford, MA; Hingham, MA; Brookline, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2292393Nemg Hingham LLC600 Cordwainer Drive, Norwell, MA 02061Certificate of waiverOct 24, 2027
22D2294145Nemg Hingham, LLC100 Medway Rd, Suite 102, 201, Milford, MA 01757Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Locations

1330 Beacon St
Ste 355
Brookline, MA 02446
Phone (239) 290-7297

100 Medway Rd
Ste 102
Milford, MA 01757
Phone (508) 478-6868

100 Medway Rd
Ste 201
Milford, MA 01757
Phone (508) 903-1500

100 Medway Rd
Ste 102201
Milford, MA 01757
Phone (508) 907-1500

600 Cordwainer Dr
Ste 103
Norwell, MA 02061

600 Cordwainer Dr
Ste 102
Norwell, MA 02061
Phone (781) 385-7790

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1194472498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WHITING ST STE 6",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433724",
            "telephone_number": "781-987-3490",
            "fax_number": "877-384-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CORDWAINER DR STE 102",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611644",
            "telephone_number": "781-987-3490",
            "fax_number": "877-384-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medway Rd Ste 102&201",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017572923",
            "country_code": "US",
            "telephone_number": "508-907-1500",
            "fax_number": "508-907-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEMG HINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BASSANO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER/COO",
        "authorized_official_telephone_number": "239-290-7297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEMG Hingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.