Active NPI
Mary Njonjo, NP-C
- Adult Health Nurse Practitioner
- Lynn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 237709
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237709 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charter LTC LLC | Current | Accepting new patients | |
| Charter Health PC | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | 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
- 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.
-
- Internal Medicine Physician
- Salem, MA
- NPI 1750824124
-
- Internal Medicine Physician
- Salem, MA
- NPI 1861129819
-
- Long Term Care Hospital
- Tewksbury, MA
- NPI 1871680496
-
- Hospitalist Physician
- Middleton, MA
- NPI 1083072599
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.