Active NPI
Caroline Ngooi
- Physician Assistant
- North Billerica, MA
National Provider Identifier
1558120220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1217173
- Practice address
- 99 Chelmsford Rd Ste 8
North Billerica, MA 01862-1351 - Phone
- (978) 545-1436
- Fax
- (997) 836-2254
- NPI assigned
- Mar 15, 2024
- Last updated
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1217173 | MA | Primary |
Addresses
Primary practice location
99 Chelmsford Rd Ste 8
North Billerica, MA 01862-1351
Mailing address
99 Chelmsford Rd Ste 8
North Billerica, MA 01862-1351
Phone (978) 545-1436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1217173 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JSB Wellness, LLC | Past | Accepting new patients | |
| JSB Wellness, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- North Andover, MA
- NPI 1184379919
-
- Family Medicine Physician
- North Billerica, MA
- NPI 1336953082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1558120220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 CHELMSFORD RD STE 8",
"city": "NORTH BILLERICA",
"state": "MA",
"postal_code": "018621351",
"telephone_number": "978-545-1436",
"fax_number": "978-362-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CHELMSFORD RD STE 8",
"city": "NORTH BILLERICA",
"state": "MA",
"postal_code": "018621351",
"telephone_number": "978-545-1436",
"fax_number": "997-836-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGOOI",
"first_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-15",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1217173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Billerica, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.