Organization Active NPI

North Suburban Internal Medicine & Gastroenterological Associates

  • Gastroenterology Physician
  • Malden, MA
National Provider Identifier
1548310949
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NORTH SUBURBAN INTERNAL MEDICINE & GASTROENTEROLOGICAL ASSOCIATES
Practice address
214 Main St
Malden, MA 02148-6907
Phone
(781) 388-9228
Fax
(781) 388-7787
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Chintamani Bhaskar Gokhale, MD
Title
President
Phone
(781) 388-9228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

214 Main St
Malden, MA 02148-6907

Mailing address

214 Main St
Malden, MA 02148-6907
Phone (781) 388-9228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1548310949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MAIN ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486907",
            "telephone_number": "781-388-9228",
            "fax_number": "781-388-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAIN ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486907",
            "telephone_number": "781-388-9228",
            "fax_number": "781-388-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN INTERNAL MEDICINE & GASTROENTEROLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "GOKHALE",
        "authorized_official_first_name": "CHINTAMANI",
        "authorized_official_middle_name": "BHASKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-388-9228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.