Northshore Medical and Rehab LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHSHORE MEDICAL AND REHAB LLC

Practice address

6 Maplewood Road
Middleton, MA 01949-2474

Phone

(978) 766-2842

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Papaiah Gopal, MDNPI 1760407050

Title

Owner

Phone

(978) 766-2842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Papaiah Gopal, MD

  • Physical Medicine & Rehabilitation Physician
  • Andover, MA
  • NPI 1760407050
  Medicare reassignment NPD Authorized official
• Pushpa Gopal, M.D.

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1023012804
  Medicare reassignment NPD

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1265749568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MAPLEWOOD ROAD",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492474",
            "telephone_number": "978-766-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MAPLEWOOD ROAD",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492474",
            "telephone_number": "978-766-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE MEDICAL AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "GOPAL",
        "authorized_official_first_name": "PAPAIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-766-2842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Next Generation Endodontics, PLLC
• Paula Wambui Ngarega
• Katlyn Jean Noonan, NP
• North Shore Regional High School
• Northeast Regional Ambulance Service, Inc.
• Margaret A. O'Callaghan, ANP-BC, WHNP-BC
• Carolyn Ogren
• Jill Oleary
• Nancy E Otovic, MD
• Dianne Marie Ouellette, MSW, LICSW

• Specialist in Middleton, MA
• Providers in Middleton, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.