Organization Active NPI

Emerson Practice Associates, Inc.

  • Internal Medicine Physician
  • Concord, MA
National Provider Identifier
1508020199
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EMERSON PRACTICE ASSOCIATES, INC.
Practice address
133 Old Road to Nine Acre Corner
Concord, MA 01742-4159
Phone
(978) 287-3022
NPI assigned
Jul 14, 2008
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Scott T Kosowicz
Title
Sr. Director Finance
Phone
(978) 287-7496

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MA
Nurse Practitioner 363L00000X MA
Internal Medicine Physician 207R00000X MA Primary
Pediatrics Physician 208000000X MA
Neurology Physician 2084N0400X MA
Hospitalist Physician 208M00000X MA

Addresses

Primary practice location

133 Old Road to Nine Acre Corner
Concord, MA 01742-4159

Mailing address

PO Box 411581
Boston, MA 02241-2503
Phone (978) 287-3000

Other practice location 1

38 Highland Commons Lane
Hudson, MA 01749
Phone (978) 287-8990

Other practice location 2

3 Digital Way
Maynard, MA 01754-2269
Phone (978) 287-8990

Other practice location 3

100 Boston Rd Ste 4
Groton, MA 01450-1879
Phone (978) 448-4300

Other practice location 4

411 Mass Ave Ste 205
Acton, MA 01720-3739
Phone (978) 263-2898

Other practice location 5

200 Baker Ave Ste 217
Concord, MA 01742-2178
Phone (978) 287-7495

Other practice location 6

55 North Rd Ste 120
Bedford, MA 01730-1078
Phone (339) 215-5100

Other practice location 7

9 Mill and Main Pl Ste 101
Maynard, MA 01754-2651
Phone (978) 371-5386

Other practice location 8

490 Boston Post Rd Ste 2001
Sudbury, MA 01776-3392
Phone (978) 579-6018

Other practice location 9

54 Baker Avenue Ext Ste 203
Concord, MA 01742-2137
Phone (978) 287-3194

Other practice location 10

21 Main St
Maynard, MA 01754-2505
Phone (978) 287-8767

Other practice location 11

131 Old Road To 9 Acre Cor Ste 770490
Concord, MA 01742-4181
Phone (978) 371-5386

Other practice location 12

830 Constitution Ave
Littleton, MA 01460-1137
Phone (978) 287-8990

Other practice location 13

310 Baker Ave Ste 175
Concord, MA 01742-2140
Phone (978) 287-3835

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidMA
M15300OtherMABCBS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081120000518 MA Part B Supplier - Clinic/Group Practice 8123188117 Receives reassigned benefits from 505 practitioners
Practice locations: Westford, MA; Sudbury, MA; Burlington, MA; North Chelmsford, MA; Maynard, MA; Littleton, MA; Hudson, MA; Groton, MA…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2078324Emerson Practice Associates21 Main Street, Maynard, MA 01754Certificate of waiverMay 26, 2028
22D2117569Emerson Practice Associates490 Boston Post Road, Sudbury, MA 01776Certificate of waiverAug 18, 2026
22D2142000Emerson Practice Associates131 Old Road to Nine Acre Corner, Concord, MA 01742Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory

Locations (25 of 62)

411 Massachusetts Ave
Ste 205
Acton, MA 01720
Phone (978) 263-2898

41 North Rd
Ste 100
Bedford, MA 01730
Phone (781) 275-2830

55 North Rd
Ste 120
Bedford, MA 01730
Phone (339) 215-5100

55 North Rd
Ste 220
Bedford, MA 01730
Phone (781) 275-0099

125 Nashua St
Ste 260
Boston, MA 02114
Phone (617) 724-4113

253 Summer St
Boston, MA 02210
Phone (617) 620-1513

780 Albany St
Fl 1
Boston, MA 02118

100 Main St
Ste 430
Concord, MA 01742

101 Thoreau St
Concord, MA 01742
Phone (978) 369-9401

131 Ornac
Ste 220
Concord, MA 01742
Phone (978) 371-1396

131 Ornac
Ste 460
Concord, MA 01742

131 Ornac
Ste 490
Concord, MA 01742
Phone (978) 371-1400

131 Ornac
Ste 500
Concord, MA 01742
Phone (978) 287-3547

131 Ornac
Ste 710
Concord, MA 01742
Phone (978) 287-3533

131 Ornac
Ste 820
Concord, MA 01742
Phone (978) 369-1386

131 Ornac
Ste 830
Concord, MA 01742
Phone (978) 369-7772

133 Old Road To 9 Acre Cor
#4
Concord, MA 01742

133 Old Road To 9 Acre Cor
#650
Concord, MA 01742

133 Old Road To 9 Acre Cor
#660
Concord, MA 01742

133 Old Road To 9 Acre Cor
#850
Concord, MA 01742

133 Old Road To 9 Acre Cor
Fl 4
Concord, MA 01742

133 Old Road To 9 Acre Cor
Ste 2
Concord, MA 01742

133 Old Road To 9 Acre Cor
Ste 660
Concord, MA 01742

133 Old Road To 9 Acre Cor
Ste 780
Concord, MA 01742

133 Ornac
Ste 230
Concord, MA 01742

Interoperability endpoints

  • Direct secure messaging: acquaye.prince.epa@direct.partners.masshiway.net
  • Direct secure messaging: aidlen.jessica.epa@direct.partners.masshiway.net
  • Direct secure messaging: anastasia.jamie.epa@direct.partners.masshiway.net
  • Direct secure messaging: auchincloss.hugh.epa@direct.partners.masshiway.net
  • Direct secure messaging: aurora.megan.epa@direct.partners.masshiway.net
  • Direct secure messaging: ayala.julio.epa@direct.partners.masshiway.net
  • Direct secure messaging: barkin.peter.epa@direct.partners.masshiway.net
  • Direct secure messaging: barrick.mccall.epa@direct.partners.masshiway.net
  • Direct secure messaging: belanger.april.epa@direct.partners.masshiway.net
  • Direct secure messaging: bergen.joseph.epa@direct.partners.masshiway.net
  • Direct secure messaging: bettencourt.shavon.epa@direct.partners.masshiway.net
  • Direct secure messaging: candido.sheyla.epa@direct.partners.masshiway.net
  • Direct secure messaging: cantu.robert.epa@direct.partners.masshiway.net
  • Direct secure messaging: carino.gerardo.epa@direct.partners.masshiway.net
  • Direct secure messaging: carrazco.claire.epa@direct.partners.masshiway.net
  • Direct secure messaging: chan.mony.epa@direct.partners.masshiway.net
  • Direct secure messaging: chang.donny.epa@direct.partners.masshiway.net
  • Direct secure messaging: cheeseman.hannah.epa@direct.partners.masshiway.net
  • Direct secure messaging: chen.connie.epa@direct.partners.masshiway.net
  • Direct secure messaging: chen.eddy.epa@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 548

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.

View all 548

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1508020199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411581",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "978-287-3000",
            "fax_number": "978-287-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO NINE ACRE CORNER",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159",
            "telephone_number": "978-287-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Highland Commons Lane",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "MA",
            "postal_code": "01749",
            "country_code": "US",
            "telephone_number": "978-287-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Digital Way",
            "address_purpose": "LOCATION",
            "city": "Maynard",
            "state": "MA",
            "postal_code": "017542269",
            "country_code": "US",
            "telephone_number": "978-287-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Boston Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "MA",
            "postal_code": "014501879",
            "country_code": "US",
            "telephone_number": "978-448-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Mass Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017203739",
            "country_code": "US",
            "telephone_number": "978-263-2898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Baker Ave Ste 217",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422178",
            "country_code": "US",
            "telephone_number": "978-287-7495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 North Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "MA",
            "postal_code": "017301078",
            "country_code": "US",
            "telephone_number": "339-215-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Mill and Main Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Maynard",
            "state": "MA",
            "postal_code": "017542651",
            "country_code": "US",
            "telephone_number": "978-371-5386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "490 Boston Post Rd Ste 2001",
            "address_purpose": "LOCATION",
            "city": "Sudbury",
            "state": "MA",
            "postal_code": "017763392",
            "country_code": "US",
            "telephone_number": "978-579-6018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 Baker Avenue Ext Ste 203",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422137",
            "country_code": "US",
            "telephone_number": "978-287-3194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Main St",
            "address_purpose": "LOCATION",
            "city": "Maynard",
            "state": "MA",
            "postal_code": "017542505",
            "country_code": "US",
            "telephone_number": "978-287-8767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Old Road To 9 Acre Cor Ste 770490",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017424181",
            "country_code": "US",
            "telephone_number": "978-371-5386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "MA",
            "postal_code": "014601137",
            "country_code": "US",
            "telephone_number": "978-287-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Baker Ave Ste 175",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422140",
            "country_code": "US",
            "telephone_number": "978-287-3835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERSON PRACTICE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "KOSOWICZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SR. DIRECTOR FINANCE",
        "authorized_official_telephone_number": "978-287-7496"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M15300",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 11, 2024; 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.

Verify at the official NPI Registry.