Active NPI
Jessica Chen, PA-C
- Physician Assistant
- North Billerica, MA
National Provider Identifier
1407332935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA6672
- Practice address
- 221 Boston Rd Ste 8
North Billerica, MA 01862-2321 - Phone
- (978) 667-9611
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6672 | MA | Primary |
Addresses
Primary practice location
221 Boston Rd Ste 8
North Billerica, MA 01862-2321
Mailing address
17 Candlewood Dr
Andover, MA 01810-3301
Phone (978) 790-8636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA6672 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merrimack Valley Pediatric Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Billerica, MA
- NPI 1982693891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1407332935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CANDLEWOOD DR",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103301",
"telephone_number": "978-790-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 BOSTON RD STE 8",
"city": "NORTH BILLERICA",
"state": "MA",
"postal_code": "018622321",
"telephone_number": "978-667-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JESSICA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA6672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Billerica, MA
- Lillian Grace Bickford
- Kerry Ann Blodgett, LICSW
- Building Essential Skills Together
- Building Essential Skills Together
- Charles C Hur DMD PC
- Chih-Ming Ko,D.M.D. and PO-Hsi Wu,D.M.D.,P.C.
- Sweta Chotrani
- Circle Health Urgent Care, LLC (Circle Health Urgent Care Billerica)
- Laura Coral, PA-C
- CVS Pharmacy Inc (CVS Pharmacy #00131)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.