NPIMap

Organization Active NPI

Eric S Schreiber, MD PC

  • Internal Medicine Physician
  • Melrose, MA
National Provider Identifier
1538489570
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54808 Issued in MA
Legal business name
ERIC S SCHREIBER, MD PC
Practice address
675 Main St
Melrose, MA 02176-3138
Phone
(781) 662-5340
Fax
(781) 333-6848
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Marie Grasso
Title
Office Manager
Phone
(781) 662-5340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 54808 MA Primary

Addresses

Primary practice location

675 Main St
Melrose, MA 02176-3138

Mailing address

675 Main St
Melrose, MA 02176-3138
Phone (781) 662-5340

Other identifiers 1

IdentifierTypeStateIssuer
3081214MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1538489570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763138",
            "telephone_number": "781-662-5340",
            "fax_number": "781-333-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763138",
            "telephone_number": "781-662-5340",
            "fax_number": "781-333-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC S SCHREIBER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "GRASSO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-662-5340"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "54808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081214",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.