NPIMap

Organization Active NPI

Mass General Brigham Community Physicians Inc.

Doing business as Pentucket Medical

  • Durable Medical Equipment & Medical Supplies
  • Lawrence, MA
National Provider Identifier
1225811995
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC.
Doing business as
Pentucket Medical
Practice address
500 Merrimack St
Lawrence, MA 01843-1981
Phone
(978) 557-8700
NPI assigned
Aug 16, 2023
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Lynn Stofer
Title
President
Phone
(857) 282-5157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

500 Merrimack St
Lawrence, MA 01843-1981

Mailing address

500 Merrimack St
Lawrence, MA 01843-1981
Phone (978) 557-8700

Other names 1

  • Pentucket Medical Doing business as

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
22D0897849Mass General Brigham Physicians Group500 Merrimack Street, Lawrence, MA 01843Certificate of waiverJun 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
B W Primary Care Asso5 organizations share this tax ID, including this one
Part of
B W Primary Care Asso

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1225811995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431981",
            "telephone_number": "978-557-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431981",
            "telephone_number": "978-557-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC.",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "STOFER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-282-5157"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pentucket Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.