Individual provider Active NPI

Mary Njonjo, NP-C

  • Adult Health Nurse Practitioner
  • Lynn, MA
National Provider Identifier
1245400142
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
237709 Issued in MA
Practice address
500 Lynnfield St
Lynn, MA 01904-1424
Phone
(781) 477-3225
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 237709 MA Primary

Addresses

Primary practice location

500 Lynnfield St
Lynn, MA 01904-1424

Mailing address

65 Randolph Dr
Tewksbury, MA 01876-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140709002190 MA Practitioner - Nurse Practitioner 5890910798 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Commonwealth of MassachusettsGroup PAC ID 8820906860, 141 clinicians
Charter LTC LLCGroup PAC ID 0840674578, 20 clinicians
Charter Health PCGroup PAC ID 1153604079, 26 clinicians

Practice addresses (Care Compare)

365 E St
Tewksbury, MA 01876-1950

365 E St
Tewksbury, MA 01876-1998
Phone (978) 851-7321

55 Highland Ave
Suite 304
Salem, MA 01970-2100
Phone (978) 354-4611

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
237709MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charter LTC LLC CurrentSince Sep 1, 2025 Accepting new patients
Charter Health PC CurrentSince Sep 1, 2025 Accepting new patients
The Commonwealth of Massachusetts CurrentSince May 27, 2014 Accepting new patients
The Commonwealth of Massachusetts CurrentSince May 27, 2014 Accepting new patients

Locations

56 Liberty St
Danvers, MA 01923
Phone (978) 777-2700

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

365 East St
Tewksbury, MA 01876
Phone (617) 536-2186

Interoperability endpoints

  • Direct secure messaging: mary.njonjo.1@28492.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1245400142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RANDOLPH DR",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041424",
            "telephone_number": "781-477-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJONJO",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "237709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.