NPIMap

Organization Active NPI

Chatterjee Medical Associates

  • Internal Medicine Physician
  • No Andover, MA
National Provider Identifier
1285718148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210316 Issued in MA
Legal business name
CHATTERJEE MEDICAL ASSOCIATES
Practice address
451 Andover St
Suite G8
No Andover, MA 01845
Phone
(978) 975-0990
Fax
(978) 975-7803
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sudarshan Chatterjee, MDNPI 1750465712
Title
Owner
Phone
(978) 975-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 213420 MA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 210316 MA Primary

Addresses

Primary practice location

451 Andover St
Suite G8
No Andover, MA 01845

Mailing address

451 Andover St
Suite G8
No Andover, MA 01845
Phone (978) 975-0990

Other identifiers 6

IdentifierTypeStateIssuer
3826032OtherAETNA
30214387OtherEDS MEDICAID OF NH
93030OtherFALLON
M18961OtherBCBS OF MASS
9749390MedicaidMA
93030OtherTUFTS

National Provider Directory

National Provider Directory

Locations

451 Andover St
Ste G8
North Andover, MA 01845
Phone (978) 975-0440

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285718148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE G8",
            "city": "NO ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-975-0990",
            "fax_number": "978-975-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE G8",
            "city": "NO ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-975-0990",
            "fax_number": "978-975-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTERJEE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHATTERJEE",
        "authorized_official_first_name": "SUDARSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-975-0990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "213420",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "210316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3826032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS MEDICAID OF NH",
            "identifier": "30214387",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "93030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "M18961",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9749390",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "93030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in No Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.