Individual provider Active NPI

Jonathan R. Snyder, MD

  • Internal Medicine Physician
  • Beverly, MA
National Provider Identifier
1326243775
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
259989 Issued in MA
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

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807002404 MA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2668640376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric 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 Home health agency, Newton, MA, CCN 227207
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012-01245NCMDInternal Medicine Physician
259989MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Generational Medicine PLLC Internal Medicine Current Accepting new patients
Ophthalmic Consultants of Boston, Inc PastSince Nov 22, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.