NPIMap

Organization Active NPI

Newton Wellesley Emergency Medicine Specialist, P .C.

  • Emergency Medicine Physician
  • Newton, MA
National Provider Identifier
1346355526
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NEWTON WELLESLEY EMERGENCY MEDICINE SPECIALIST, P .C.
Practice address
2014 Washington St
Newton, MA 02462-1607
Phone
(617) 243-6040
Fax
(617) 243-6924
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Mark Lemons, MDNPI 1831159458
Title
President
Phone
(508) 561-5683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

2014 Washington St
Newton, MA 02462-1607

Mailing address

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6040

Other identifiers 1

IdentifierTypeStateIssuer
9783288MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000237 MA Part B Supplier - Clinic/Group Practice 7810983996 Receives reassigned benefits from 72 practitioners
Practice locations: Newton, MA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: freiman.eli.nwh@direct.partners.masshiway.net
  • Direct secure messaging: byrne.michael.nwh@direct.partners.masshiway.net
  • Direct secure messaging: chandni.hiral.nwh@direct.partners.masshiway.net
  • Direct secure messaging: jones.catherine.nwh@direct.partners.masshiway.net
  • Direct secure messaging: vulfovich.michael.nwh@direct.partners.masshiway.net
  • Direct secure messaging: todd.jason.nwh@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 73

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

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1346355526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621607",
            "telephone_number": "617-243-6040",
            "fax_number": "617-243-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621607",
            "telephone_number": "617-243-6040",
            "fax_number": "617-243-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON WELLESLEY EMERGENCY MEDICINE SPECIALIST, P .C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "LEMONS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-561-5683",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9783288",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.

Verify at the official NPI Registry.