Individual provider Active NPI

Jody Naimark, M.D.

  • Family Medicine Physician
  • Tewksbury, MA
National Provider Identifier
1356305098
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
70939 Issued in MA
Practice address
2345 Main St
Tewksbury, MA 01876-3125
Phone
(978) 658-9931
Fax
(978) 694-0991
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 70939 MA Primary

Addresses

Primary practice location

2345 Main St
Tewksbury, MA 01876-3125

Mailing address

2345 Main St
Tewksbury, MA 01876-3125
Phone (978) 658-9931

Other identifiers 1

IdentifierTypeStateIssuer
3051315MedicaidMA

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
I20100910000681 MA Practitioner - Family Practice 2769458363 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70939MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Physician Associates, Inc Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Familiy Care Centers PC Family Medicine Current Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Stoneham Medical Group LLC Past Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. Past Accepting new patients
Winchester Physician Associates Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

203 Main St
North Reading, MA 01864
Phone (978) 664-1990

2345 Main St
Tewksbury, MA 01876
Phone (978) 658-9931

Interoperability endpoints

  • Direct secure messaging: jnaimark22844@direct.bilh.masshiway.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1356305098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018763125",
            "telephone_number": "978-658-9931",
            "fax_number": "978-694-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018763125",
            "telephone_number": "978-658-9931",
            "fax_number": "978-694-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIMARK",
        "first_name": "JODY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "70939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051315",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.