Active NPI
Madan Zutshi, P.C.
- Gastroenterology Physician
- Everett, MA
National Provider Identifier
1376707232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61557 | Other | MA | HARVARD PILGRIM |
| M08636 | Other | MA | BLUECROSS |
| 2033739 | Medicaid | MA | |
| 702802 | Other | MA | TUFTS |
National Provider Directory
National Provider DirectoryLocations
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.