Core Physician Services of Massachusetts Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CORE PHYSICIAN SERVICES OF MASSACHUSETTS INC

Practice address

140 Lincoln Avenue
Haverhill, MA 01830

Phone

(978) 521-3676

NPI assigned

Jan 19, 2006

Organization subpart

No

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

Authorized official

Name

Debra R Cresta

Title

President

Phone

(603) 580-6693

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Nicholas D Garcia, MD

  • Vascular Surgery Physician
  • Tacoma, WA
  • NPI 1659336535
  NPD (past)
• Stephen M Gemmett, MD

  • Vascular Surgery Physician
  • Dover, NH
  • NPI 1518928316
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508846163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "03833",
            "telephone_number": "603-580-6009",
            "fax_number": "603-580-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LINCOLN AVENUE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-521-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICIAN SERVICES OF MASSACHUSETTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRESTA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-580-6693"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9737456",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walson Constant, THERAPEUTICMENTORING
• Contemporary Counseling and Wellness
• Debra Coviello Cook, RN
• Kimberley Beth Cook, OTR
• Stacey M Cooper-Jennings, LICSW
• Cornerstone Caregiving East LLC
• Sara J Correia
• Christa Corricelli, MS, M.ED.
• Kaylee Cortes
• Victoria R Costa, PHYSICAL THERAPIST

• Vascular Surgery Physician in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Vascular Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.