Haverhill Family Practice

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

HAVERHILL FAMILY PRACTICE

Doing business as

Haverhill Family Practice

Practice address

62 Brown St
Suite 404
Haverhill, MA 01830

Phone

(978) 521-6555

Fax

(978) 521-1236

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Ronald Goldberg, MD

Title

MD

Phone

(978) 521-6555

Specialties & licenses 2

Addresses

Other names 1

• Haverhill Family Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine P Booth, ARNP

  • Nurse Practitioner
  • Danvers, MA
  • NPI 1649293911
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1417127242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BROWN ST.",
            "address_2": "SUITE 404",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-521-6555",
            "fax_number": "978-521-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BROWN ST",
            "address_2": "SUITE 404",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-521-6555",
            "fax_number": "978-521-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERHILL FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "978-521-6555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MA",
            "license": "27679",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haverhill Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haverhill Dental Associates Inc
• Haverhill Dental Inc.
• Haverhill Family Care
• Haverhill Family Chiropractic
• Haverhill Family Office, LLC
• Haverhill Family Practice LLC
• Haverhill Gi Inc
• Haverhill Medical Equipment LLC
• Haverhill Mental Health Services, LLC
• Haverhill Oxford SNF Operations, LLC (Oxford Rehabilitation & Health Care Center)

• Point of Service in Haverhill, MA
• Providers in Haverhill, 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 Oct 7, 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.