Active NPI
Matthew J Marengi, CRNA
- Certified Registered Nurse Anesthetist
- Westwood, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2299011
- Practice address
- 690 Canton St Ste 325
Westwood, MA 02090-2324 - Phone
- (781) 407-7713
- NPI assigned
- Jun 1, 2017
- Last updated
- Sep 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN2299011 | MA | Primary |
| Registered Nurse | 163W00000X | RN2299011 | MA |
Addresses
Primary practice location
690 Canton St Ste 325
Westwood, MA 02090-2324
Mailing address
690 Canton St Ste 325
Westwood, MA 02090-2324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Boston University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-8480
300 Federal St
Suite 103
Andover, MA 01810-1038
Phone (978) 459-6737
33 Bartlett St
Suite 203
Lowell, MA 01852-1317
Phone (978) 689-4601
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2299011 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lowell Anesthesiology Service, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Emerson Practice Associates II, Inc. | Current | Accepting new patients | |
| Integrated Gastroenterology Consultants, PC | Past | Accepting new patients |
Locations
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
33 Bartlett St
Ste 203
Lowell, MA 01852
Phone (978) 689-4601
70 East St
Methuen, MA 01844
Phone (978) 682-1906
800 Washington St
Norwood, MA 02062
Phone (781) 278-6264
440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Concord, MA
- NPI 1427383645
-
- Anesthesiology Physician
- Lowell, MA
- NPI 1114927282
-
- Physical Therapist
- North Chelmsford, MA
- NPI 1396075123
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
Nurse Anesthetist, Certified Registered
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
dba Lowell General Hospital
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505520000000",
"number": "1497283550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 CANTON ST STE 325",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 CANTON ST STE 325",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902324",
"telephone_number": "781-407-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARENGI",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-01",
"last_updated": "2017-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2299011",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2299011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.