Individual provider Active NPI

Karine Ngoya Ngoie, PA-C

  • Physician Assistant
  • Lawrence, MA
National Provider Identifier
1235347899
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2020 Issued in MA
Practice address
354 Merrimack St 1
Lawrence, MA 01843-1755
Phone
(978) 687-2321
Fax
(978) 722-7287
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2020 MA Primary

Addresses

Primary practice location

354 Merrimack St 1
Lawrence, MA 01843-1755

Mailing address

354 Merrimack St 1
Lawrence, MA 01843-1755
Phone (978) 687-2321

Other practice location 1

70 Butler St
Salem, NH 03079-3925
Phone (978) 687-2321

Other practice location 2

10 George St Ste 300
Lowell, MA 01852-2293
Phone (978) 687-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081218000792 MA Practitioner - Physician Assistant 9133281561 Reassigns benefits to 1 organization
I20200213000796 NH Practitioner - Physician Assistant 9133281561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2020MAMDRegistered Dietitian
0713NHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

80 Andover St
Andover, MA 01810
Phone (978) 296-3781

40 Parkhurst Rd
Chelmsford, MA 01824
Phone (978) 251-3151

15 Kirkbride Dr
Danvers, MA 01923
Phone (978) 558-4120

184 Main St
Fairhaven, MA 02719
Phone (508) 742-3737

1071 Varnum Ave
Lowell, MA 01854
Phone (978) 446-1862

1801 Turnpike St
North Andover, MA 01845
Phone (978) 454-8086

30 Colby Ct
Bedford, NH 03110
Phone (603) 267-0527

55 Harris Rd
Nashua, NH 03062
Phone (603) 324-4415

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDEJAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1235347899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST 1",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431755",
            "telephone_number": "978-687-2321",
            "fax_number": "978-722-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST 1",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431755",
            "telephone_number": "978-687-2321",
            "fax_number": "978-722-7287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Butler St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793925",
            "country_code": "US",
            "telephone_number": "978-687-2321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 George St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018522293",
            "country_code": "US",
            "telephone_number": "978-687-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGOIE",
        "first_name": "KARINE",
        "middle_name": "NGOYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.