Active NPI
Jonathan R. Snyder, MD
- Internal Medicine Physician
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 259989
- Practice address
- 100 Cummings Ctr Ste 136P
Beverly, MA 01915-6127 - Phone
- (978) 279-0800
- NPI assigned
- Jun 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2012-01245 | NC | |
| Pediatrics Physician | 208000000X | 259989 | MA | |
| Pediatrics Physician | 208000000X | 2012-01245 | NC | |
| Internal Medicine Physician | 207R00000X | 259989 | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr Ste 136P
Beverly, MA 01915-6127
Mailing address
2 Corporation Way
Peabody, MA 01960-7932
Phone (978) 573-4378
Other practice location 1
1899 N Marine Blvd
Jacksonville, NC 28546-6555
Phone (910) 341-3300
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
900 Cummings Ctr
Suite 107T
Beverly, MA 01915-6196
Phone (978) 922-0357
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- North Shore Medical Center -
- Northeast Hospital Corporation
- Massachusetts General Hospital
- Lahey Hospital & Medical Center, Burlington
- Spaulding Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-01245 | NC | MD | Internal Medicine Physician |
| 259989 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Generational Medicine PLLC | Internal Medicine | Current | Accepting new patients |
| Ophthalmic Consultants of Boston, Inc | Past | Accepting new patients | |
| Wilmington Health PLLC | Past | Accepting new patients |
Locations
500 Cummings Ctr
Ste 4700
Beverly, MA 01915
Phone (978) 579-2444
100 Cummings Ctr
Ste 136P
Beverly, MA 01915
Phone (877) 379-5522
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
Interoperability endpoints
- snyder.jonathan.nsmc@direct.partners.masshiway.net
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
Internal Medicine
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1043148653
-
- Eyewear Supplier
- East Weymouth, MA
- NPI 1851966162
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1326243775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CORPORATION WAY",
"city": "PEABODY",
"state": "MA",
"postal_code": "019607932",
"telephone_number": "978-573-4378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 136P",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156127",
"telephone_number": "978-279-0800"
}
],
"practiceLocations": [
{
"address_1": "1899 N Marine Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466555",
"country_code": "US",
"telephone_number": "910-341-3300",
"fax_number": "910-251-8824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "JONATHAN",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-17",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2012-01245",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "259989",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2012-01245",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "259989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.