Merrimack Urology Assoc, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

MERRIMACK UROLOGY ASSOC, PC

Practice address

31 Village SQ
Chelmsford, MA 01824-2712

Phone

(978) 256-9507

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Edelstein, MD

Title

President

Phone

(978) 256-9507

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Bonny C Nothern, NP

  • Adult Health Nurse Practitioner
  • Roxbury, MA
  • NPI 1538194865
  NPD
• Magdy Salama, MD

  • Anatomic Pathology Physician
  • Ayer, MA
  • NPI 1215918057
  NPD (past)
• Youngun Suh, PA-C

  • Physician Assistant
  • Beverly, MA
  • NPI 1346498870
  NPD (past)
• Miguel A Antelo, M.D.

  • Urology Physician
  • Nashua, NH
  • NPI 1720069545
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1316976269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK UROLOGY ASSOC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "EDELSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-256-9507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700293",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kivane Mendoza
• Asif Abdul Sultan Merchant, MD
• David Mercurio, H.I.S.
• David W. Merens, MD
• Jennifer Anne Merrill, PT
• Merrimack Valley Cardiology
• Michael a. Gilchrist, MD
• Michels Angels Corporation
• Rosalba Micieli, LMT
• Edward Micu, LMHC

• Urology Physician in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.