Active NPI
Hayley Moak-Blest, D.O.
- Family Medicine Physician
- South Hamilton, MA
National Provider Identifier
1558522946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 246424
- Practice address
- 205 Willow St
South Hamilton, MA 01982-2255 - Phone
- (978) 468-7346
- Fax
- (978) 468-6628
- NPI assigned
- Jun 19, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 246424 | MA | Primary |
Addresses
Primary practice location
205 Willow St
South Hamilton, MA 01982-2255
Mailing address
Lahey Health Primary Care, Hamilton-Wenham
205 Willow Street
South Hamilton, MA 01982-2255
Phone (978) 468-7346
Other practice location 1
281 Lincoln St
Med Staff SVCS
Worcester, MA 01605-2138
Phone (508) 334-8015
Other names 1
- Hayley Moak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 13, 2022 through Jan 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1558522946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAHEY HEALTH PRIMARY CARE, HAMILTON-WENHAM",
"address_2": "205 WILLOW STREET",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019822255",
"telephone_number": "978-468-7346",
"fax_number": "978-468-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WILLOW ST",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019822255",
"telephone_number": "978-468-7346",
"fax_number": "978-468-6628"
}
],
"practiceLocations": [
{
"address_1": "281 Lincoln St",
"address_2": "MED STAFF SVCS",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052138",
"country_code": "US",
"telephone_number": "508-334-8015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOAK-BLEST",
"first_name": "HAYLEY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "246424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAYLEY",
"last_name": "MOAK",
"code": "5",
"type": "Other Name"
}
]
}Other providers in South Hamilton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.