Active NPI
Electra Health Medical Mass PC
- Gynecology Physician
- Sturbridge, MA
National Provider Identifier
1336993575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- ELECTRA HEALTH MEDICAL MASS PC
- Practice address
- 198 Charlton Rd
Sturbridge, MA 01566-1571 - Phone
- (646) 760-6669
- NPI assigned
- Apr 15, 2024
- Last updated
- Nov 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jannine Versi
- Title
- Coo
- Phone
- (646) 760-6669
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary | ||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
198 Charlton Rd
Sturbridge, MA 01566-1571
Mailing address
228 Park Ave S PMB 49409
New York, NY 10003-1502
Phone (202) 524-8706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731888000000",
"number": "1336993575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 PARK AVE S PMB 49409",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031502",
"telephone_number": "202-524-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 CHARLTON RD",
"city": "STURBRIDGE",
"state": "MA",
"postal_code": "015661571",
"telephone_number": "646-760-6669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELECTRA HEALTH MEDICAL MASS PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-15",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "VERSI",
"authorized_official_first_name": "JANNINE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "646-760-6669"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sturbridge, MA
- Discovery Assessments
- Samantha Elizabeth Donlon, NP
- Dr. Elizabeth Prokos Berry (Sturbridge Eye Care)
- Gisele Marie Duplessis, MSW, LICSW
- Eastern Integrations, LLC (Acupuncture & Oriental Medicine of Sturbridge)
- Elizabeth Prokos Berry
- David Michael Erani, M.D.
- Eye Doc LLC
- Casey Fairbrother, PHARMD
- Junjie Fang, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.