Edgewood Retirement Community, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EDGEWOOD RETIREMENT COMMUNITY, INC.

Practice address

575 Osgood St
North Andover, MA 01845-1975

Phone

(978) 725-3300

NPI assigned

Mar 16, 2010

Organization subpart

No

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

Authorized official

Name

Mr. James Rosenman

Title

Administrator

Phone

(978) 725-4102

Specialties & licenses 1

Addresses

Other names 1

• Rokous Clinic Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Edgewood Retirement Community, Inc

  • Skilled Nursing Facility
  • North Andover, MA
  • NPI 1659354355

  Member Of

  NPD member

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1346564689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 OSGOOD ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 OSGOOD ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451975",
            "telephone_number": "978-725-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD RETIREMENT COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "ROSENMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-725-4102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rokous Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Suzanne E Duval, M.D.
• E Z Dental, LLC
• E.Charles Beliveau,D.D.S.,PLLC
• Catherine Eccles, LICSW
• Edgewood Retirement Community, Inc
• Mackinzie Edwards
• Diane Lockberg Egan, DC
• Ehquanimity LLC
• Caroline Eichmann, LICSW
• Eip Lawrence Choice Billing

• Family Nurse Practitioner in North Andover, MA
• Providers in North Andover, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.