NPIMap

Organization Active NPI

Neville Medical Associates Inc. PC

  • Clinic/Center
  • Lawrence, MA
National Provider Identifier
1336266832
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
74287 Issued in MA
Legal business name
NEVILLE MEDICAL ASSOCIATES INC. PC
Practice address
100 Franklin St
Lawrence, MA 01840-1132
Phone
(978) 682-8343
Fax
(978) 682-8343
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Raju Neville Navaratnam, M.D.
Title
President
Phone
(978) 475-4197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 74287 MA Primary

Addresses

Primary practice location

100 Franklin St
Lawrence, MA 01840-1132

Mailing address

19 Algonquin Ave
Andover, MA 01810-5527
Phone (978) 475-4197

Other identifiers 1

IdentifierTypeStateIssuer
9768041MedicaidMA

National Provider Directory

National Provider Directory

Locations

100 Franklin St
Lawrence, MA 01840
Phone (978) 682-8343

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1336266832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ALGONQUIN AVE",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105527",
            "telephone_number": "978-475-4197",
            "fax_number": "978-682-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FRANKLIN ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401132",
            "telephone_number": "978-682-8343",
            "fax_number": "978-682-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVILLE MEDICAL ASSOCIATES INC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "NAVARATNAM",
        "authorized_official_first_name": "RAJU",
        "authorized_official_middle_name": "NEVILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-475-4197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "74287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9768041",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.