NPIMap

Organization Active NPI

Andrea J. Fribush, MD LLC

  • Specialist
  • Concord, MA
National Provider Identifier
1407062680
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
74708 Issued in MA
Legal business name
ANDREA J. FRIBUSH, MD LLC
Practice address
131 Old Road to 9 Acre Cor
Suite 570
Concord, MA 01742-4181
Phone
(978) 371-7176
Fax
(978) 371-7136
NPI assigned
May 15, 2007
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Andrea J. Fribush, M.D.NPI 1336107309
Title
Owner
Phone
(978) 371-7176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 74708 MA Primary

Addresses

Primary practice location

131 Old Road to 9 Acre Cor
Suite 570
Concord, MA 01742-4181

Mailing address

131 Old Road to 9 Acre Cor
Suite 570
Concord, MA 01742-4181
Phone (978) 371-7176

Other names 1

  • Andrea J. Fribush Other name

National Provider Directory

National Provider Directory

Locations

131 Ornac
Ste 570
Concord, MA 01742
Phone (978) 371-7176

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1407062680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 570",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-371-7176",
            "fax_number": "978-371-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 570",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-371-7176",
            "fax_number": "978-371-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA J. FRIBUSH, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "FRIBUSH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-371-7176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "74708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrea J. Fribush",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.