NPIMap

Organization Active NPI

Mass General Brigham Community Physicians Inc

  • Cardiovascular Disease Physician
  • Medford, MA
National Provider Identifier
1548638265
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC
Practice address
137 Main St
Medford, MA 02155-4522
Phone
(781) 395-4909
Fax
(781) 395-5081
NPI assigned
Sep 11, 2015
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Lynn Stofer
Title
President & Coo
Phone
(857) 282-5157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Pulmonary Disease Physician 207RP1001X

Addresses

Primary practice location

137 Main St
Medford, MA 02155-4522

Mailing address

399 Revolution Dr Ste 1010
Somerville, MA 02145-1444

Other practice location 1

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC, NH, RI, FL, VT, OH, TX, CT, NJ, CA, NY, MI, ME, AZ, HI, NM, NC, MN19 enrollments

Enrollment records 19

Enrollment IDStateProvider typePAC IDDetails
O20151215000536 MA Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 214 practitioners
O20220902000600 DC Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD
O20221107002262 NH Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 107 practitioners
Practice locations: Somersworth, NH; Sandwich, NH; Salem, NH; Portsmouth, NH; Dover, NH; Newfields, NH; New London, NH; Lee, NH…
O20230414000161 RI Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: East Greenwich, RI
O20230425000448 FL Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL; Orlando, FL
O20231002002375 VT Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Norwich, VT
O20231025001718 OH Part B Supplier - Clinic/Group Practice 1759273436 Practice locations: Columbus, OH
O20231025002409 TX Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX; Sugar Land, TX
O20240228001655 CT Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, CT
O20240302000076 NJ Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 2 practitioners
Practice locations: Jersey City, NJ; Mount Laurel, NJ
O20240403001240 CA Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Lodi, CA
O20240614002271 NY Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20241007001041 MI Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI; Northville, MI
O20241023001770 ME Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: York, ME
O20250606000805 AZ Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ
O20250805000469 HI Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20251204001728 NM Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20260109001277 NC Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, NC
O20260407001575 MN Part B Supplier - Clinic/Group Practice 1759273436 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MN

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

192 North St
#R
Danvers, MA 01923

66 E Main St
Georgetown, MA 01833
Phone (978) 352-7780

288 Groveland St
Unit 1
Haverhill, MA 01830
Phone (978) 373-3851

157 Washington St
Hudson, MA 01749
Phone (978) 562-0564

345 Front St
Marion, MA 02738
Phone (508) 748-1144

630 Turnpike St
North Andover, MA 01845
Phone (978) 685-9600

449 Neponset St
Norwood, MA 02062
Phone (781) 440-3700

4 Centennial Dr
Peabody, MA 01960
Phone (978) 531-0800

92 Montvale Ave
Ste 3400
Stoneham, MA 02180
Phone (781) 438-5543

Practitioners & affiliated clinicians

Practitioners 650

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 650

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1548638265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 REVOLUTION DR STE 1010",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554522",
            "telephone_number": "781-395-4909",
            "fax_number": "781-395-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "021551643",
            "country_code": "US",
            "telephone_number": "781-395-4909",
            "fax_number": "781-395-5081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "STOFER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "857-282-5157"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.