Massachusetts Medical & Rehabilitation Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

MASSACHUSETTS MEDICAL & REHABILITATION INC

Practice address

365 Ferry St
Unit 5
Everett, MA 02149-5645

Phone

(617) 294-4105

Fax

(617) 294-4978

NPI assigned

May 28, 2013

Last updated

Jun 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rony Etienne

Title

President

Phone

(954) 864-9105

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1366889610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FERRY ST",
            "address_2": "UNIT 5",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495645",
            "telephone_number": "617-294-4105",
            "fax_number": "617-294-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 FERRY ST",
            "address_2": "UNIT 5",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495645",
            "telephone_number": "617-294-4105",
            "fax_number": "617-294-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS MEDICAL & REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "RONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-864-9105"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Chandra Martin, OD
• Marlene Martinez, MA
• Juliana Martins
• Susan E Martinson, MSN, CNM, PMHNP-BC
• Andrew Marzan
• Sylvia Mateega
• Shamima Mather, RRT
• Teshlande S Mathieu
• May's Home Care LLC
• Beth Mburu

• Point of Service in Everett, MA
• Providers in Everett, MA by specialty
• Point of Service in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.