Active NPI
Stelwin Medical PLLC
- Multi-Specialty Clinic/Center
- Randolph, MA
National Provider Identifier
1366044836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- STELWIN MEDICAL PLLC
- Practice address
- 19 F B Merrick Cir
Randolph, MA 02368-2477 - Phone
- (617) 943-5606
- NPI assigned
- Nov 10, 2020
- 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
- Christiana Egwim, FNP
- Title
- President
- Phone
- (617) 943-5606
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
19 F B Merrick Cir
Randolph, MA 02368-2477
Mailing address
19 F B Merrick Cir
Randolph, MA 02368-2477
Phone (617) 943-5606
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604966400000",
"number": "1366044836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 F B MERRICK CIR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682477",
"telephone_number": "617-943-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 F B MERRICK CIR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682477",
"telephone_number": "617-943-5606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELWIN MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A",
"authorized_official_last_name": "EGWIM",
"authorized_official_first_name": "CHRISTIANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-943-5606",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.