Individual provider Active NPI

John Dominic Kplorfia, NP

  • Family Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1265959191
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2313353 Issued in MA
Practice address
47 High St Ste 101
North Andover, MA 01845-2662
Phone
(978) 685-2460
NPI assigned
Aug 22, 2017
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2313353 MA Primary

Addresses

Primary practice location

47 High St Ste 101
North Andover, MA 01845-2662

Mailing address

47 High St Ste 101
North Andover, MA 01845-2662
Phone (978) 685-2460

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
I20180427000813 MA Practitioner - Nurse Practitioner 9638433642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Eastbrook Rd
Suite 302
Dedham, MA 02026-2084
Phone (781) 747-7004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Care Medical Services PLLC CurrentSince Apr 1, 2023 Accepting new patients
Ajay Anand MD PC CurrentSince Apr 6, 2018 Accepting new patients
Charter Health PC CurrentSince Mar 1, 2021 Accepting new patients
Ajay Anand MD PC Past Accepting new patients
Riverside Community Care, Inc. Past Accepting new patients

Locations

30 Eastbrook Rd
Ste 302
Dedham, MA 02026
Phone (781) 329-4579

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1265959191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HIGH ST STE 101",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452662",
            "telephone_number": "978-685-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HIGH ST STE 101",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452662",
            "telephone_number": "978-685-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPLORFIA",
        "first_name": "JOHN",
        "middle_name": "DOMINIC",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2313353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.