Organization Active NPI

Madan Zutshi, P.C.

  • Gastroenterology Physician
  • Everett, MA
National Provider Identifier
1376707232
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MADAN ZUTSHI, P.C.
Practice address
92 Garland St
Everett, MA 02149-5067
Phone
(617) 389-6033
Fax
(617) 389-2644
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Dr. Madan L Zutshi, M.D.
Title
President
Phone
(617) 389-6033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

92 Garland St
Everett, MA 02149-5067

Mailing address

92 Garland St
Everett, MA 02149-5067
Phone (508) 949-8118

Other identifiers 4

IdentifierTypeStateIssuer
61557OtherMAHARVARD PILGRIM
M08636OtherMABLUECROSS
2033739MedicaidMA
702802OtherMATUFTS

National Provider Directory

National Provider Directory

Locations

92 Garland St
Everett, MA 02149
Phone (508) 977-9118

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1376707232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 GARLAND ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495067",
            "telephone_number": "508-949-8118",
            "fax_number": "508-461-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 GARLAND ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495067",
            "telephone_number": "617-389-6033",
            "fax_number": "617-389-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADAN ZUTSHI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "ZUTSHI",
        "authorized_official_first_name": "MADAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-389-6033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "61557",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "M08636",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033739",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "702802",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.