Mass General Brigham

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

MASS GENERAL BRIGHAM

Practice address

978 Worcester St
Wellesley, MA 02482-3709

Phone

(617) 219-1280

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

NEWTON WELLESLEY HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Andrew Dolente

Title

Practice Manager, Sports Medicine

Phone

(617) 219-1280

Specialties & licenses 1

Addresses

Other names 1

• Newton Wellesley Medical Group Other name

Interoperability endpoints

• FHIR API: https://api.mgbhealthplanfhir.com/r4
• FHIR API: https://ws-interconnect-fhir.partners.org/Interconnect-FHIR-MU-PRD/api/FHIR/R4/

Practitioners 1

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.

• Erin McGovern, PA-C

  • Physician Assistant
  • Boston, MA
  • NPI 1659891976
  NPD

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1215744057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W 9TH ST APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021277720",
            "telephone_number": "339-225-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823709",
            "telephone_number": "617-219-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS GENERAL BRIGHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWTON WELLESLEY HOSPITAL",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "DOLENTE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRACTICE MANAGER, SPORTS MEDICINE",
        "authorized_official_telephone_number": "617-219-1280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Wellesley Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jane K Martin, LIC. AC.
• Aida Kuri Martinez, MD
• Chavely M Martinez
• Barbara Maselunas, NP
• William Prescott Mason
• Masters Chiropractic, P.C.
• Sandra Masters, D.C.
• Anthony Mastrocola
• Abigail Leigh Masucci
• Patricia Mathison, LMHC

• Physician Assistant in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.