Organization Active NPI

Stelwin Medical PLLC

  • Multi-Specialty Clinic/Center
  • Randolph, MA
National Provider Identifier
1366044836
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Nov 10, 2020

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.