Emerson Practice Associates, Inc.
Organization Active NPI Internal Medicine Physician · Concord, MA
NPI 1508020199 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1508020199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Scott T Kosowicz
- Title
- Sr. Director Finance
- Phone
- (978) 287-7496
Practitioners 548
-
Ghazwan Acash, M.D.
-
Aylin Akay, MD
-
Saif A. Alenizi, M.D., M.P.H.
-
Jamie Allen, D.O.
-
Maria Del Carmen Arcia, M.D.
-
Julio C. Ayala, MD
-
Peter M Barkin, MD
-
McCall Barrick, PNP
-
Rachel Battelli, PA
-
Peter Scott Benjamin, M.D.
-
Natasha Bolotinsky, M.D.
-
Robert Clark Cantu, M.D.
-
Donny Li-Fan Chang, M.D., PH.D.
-
Connie Y. Chen, MD
-
Nisse Virginia Clark, M.D.
-
Alexandra Baker Columbus, M.D.
-
Mark A Connaughton, M.D.
-
Michelle Dalencour, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2078324 | Emerson Practice Associates | Certificate of waiver | May 26, 2028 |
| 22D2117569 | Emerson Practice Associates | Certificate of waiver | Aug 18, 2026 |
| 22D2142000 | Emerson Practice Associates | Certificate of waiver | Dec 28, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
Locations (25 of 58)
411 Massachusetts Ave
Ste 205
Acton, MA 01720
Phone (978) 263-2898
55 North Rd
Ste 220
Bedford, MA 01730
Phone (781) 275-0099
41 North Rd
Ste 100
Bedford, MA 01730
Phone (781) 275-2830
55 North Rd
Ste 120
Bedford, MA 01730
Phone (339) 215-5100
133 Old Road To 9 Acre Cor
Ste 780
Concord, MA 01742
131 Ornac
Ste 710
Concord, MA 01742
Phone (978) 287-3533
200 Baker Ave
Concord, MA 01742
100 Main St
Ste 430
Concord, MA 01742
131 Ornac
Ste 780
Concord, MA 01742
Phone (978) 369-7677
310 Baker Ave
Concord, MA 01742
Phone (978) 287-8200
133 Old Road To 9 Acre Cor
#650
Concord, MA 01742
310 Baker Ave
Ste 175D
Concord, MA 01742
Phone (978) 287-3835
310 Baker Ave
Ste 203
Concord, MA 01742
133 Ornac
Ste 230
Concord, MA 01742
747 Main St
Ste 108
Concord, MA 01742
131 Old Road To 9 Acre Cor
Ste 410
Concord, MA 01742
Phone (978) 341-8660
131 Ornac
Ste 490
Concord, MA 01742
Phone (978) 371-1400
200 Baker Ave
Ste 217
Concord, MA 01742
Phone (978) 287-7495
59 Old Road To 9 Acre Cor
Ste 200
Concord, MA 01742
133 Old Road To 9 Acre Cor
#4
Concord, MA 01742
133 Old Road To 9 Acre Cor
Fl 4
Concord, MA 01742
310 Baker Ave
Ste 175
Concord, MA 01742
Phone (978) 287-3835
54 Baker Avenue Ext
Ste 1010
Concord, MA 01742
133 Old Road To 9 Acre Cor
#660
Concord, MA 01742
747 Main St
Ste 223
Concord, MA 01742
Phone (978) 369-3317
Interoperability endpoints
- hanspard.kenya.epa@direct.partners.masshiway.net
- xu.tingyu.epa@direct.partners.masshiway.net
- virkhundal.navneet.epa@direct.partners.masshiway.net
- paoloni.dennis.epa@direct.partners.masshiway.net
- marcinkus.katherine.epa@direct.partners.masshiway.net
- torres.lorely.epa@direct.partners.masshiway.net
- lansky.rebecca.epa@direct.partners.masshiway.net
- tsyrkunou.artsiom.epa@direct.partners.masshiway.net
- frank.laura.epa@direct.partners.masshiway.net
- smolik.shaina.epa@direct.partners.masshiway.net
- gould.thomas.epa@direct.partners.masshiway.net
- barkin.peter.epa@direct.partners.masshiway.net
- markey.rachael.epa@direct.partners.masshiway.net
- pucillo.angelo.epa@direct.partners.masshiway.net
- weinstein.milena.epa@direct.partners.masshiway.net
- mcshine.randall.epa@direct.partners.masshiway.net
- howe.william.epa@direct.partners.masshiway.net
- zide.russell.epa@direct.partners.masshiway.net
- roomi.noor.epa@direct.partners.masshiway.net
- jean-francois.nadege.epa@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | MA | Yes | |
| Pediatrics Physician |
208000000X | MA | ||
| Neurology Physician |
2084N0400X | MA | ||
| Hospitalist Physician |
208M00000X | MA | ||
| Physical Therapy Clinic/Center | 261QP2000X | MA | ||
| Nurse Practitioner |
363L00000X | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MA | |
| M15300 | Other | MA | BCBS MA |
Other providers in Concord, MA
- Emerson Hospital
- Emerson Hospital Diagnostic Testing, Inc
- Emerson Hospital Emergency Phy PC
- Emerson Pathology Associates, Inc.
- Emerson Practice Associates II, Inc.
- Emerson Urological Associates, Inc.
- Lauren Endicott
- Eileen Ann English
- Juliana Andrea Enriquez
- Jane Sproule Epstein
All providers in Concord, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.