NPIMap

Individual provider Active NPI

Stephen D Ozaroff, PA

  • Physician Assistant
  • Lawrence, MA
National Provider Identifier
1548252802
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1748 Issued in MA
Practice address
150 Park St
Lawrence, MA 01841-2517
Phone
(978) 685-1770
Fax
(978) 682-5787
NPI assigned
Aug 22, 2005
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1748 MA Primary

Addresses

Primary practice location

150 Park St
Lawrence, MA 01841-2517

Mailing address

150 Park St
Lawrence, MA 01841-2517
Phone (978) 685-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040831000986 MA Practitioner - Physician Assistant 8628966157 Reassigns benefits to 2 organizations
I20221006001364 NH Practitioner - Physician Assistant 8628966157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians

Practice addresses (Care Compare)

150 Park St
Lawrence, MA 01841-2517
Phone (978) 685-1770

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1910NHMDClinical Social Worker
1748MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc CurrentSince Aug 15, 2022 Accepting new patients
Greater Lawrence Family Health Center Inc. CurrentSince Oct 17, 2010 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Aug 15, 2022 Accepting new patients
Mass General Brigham Amsurg Inc Past Accepting new patients

Locations

34 Haverhill St
Lawrence, MA 01841

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

Interoperability endpoints

  • Direct secure messaging: ozaroff.stephen.mgbicare@direct.partners.masshiway.net
  • Direct secure messaging: stephen.ozaroff.1@23857.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1548252802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PARK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412517",
            "telephone_number": "978-685-1770",
            "fax_number": "978-682-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412517",
            "telephone_number": "978-685-1770",
            "fax_number": "978-682-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZAROFF",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.