Active NPI
Hesed Medical Associates, LLC
- Internal Medicine Physician
- Lawrence, MA
National Provider Identifier
1558866129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57709
- Legal business name
- HESED MEDICAL ASSOCIATES, LLC
- Practice address
- 25 Marston St Apt 405
Lawrence, MA 01841-2359 - Phone
- (978) 682-3939
- Fax
- (617) 876-1872
- NPI assigned
- Mar 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter W Choo, MD
- Title
- Owner/Physician
- Phone
- (617) 512-2515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57709 | MA | Primary |
Addresses
Primary practice location
25 Marston St Apt 405
Lawrence, MA 01841-2359
Mailing address
12 Lancaster St
Cambridge, MA 02140-2807
Phone (617) 512-2515
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110045454A | Medicaid | MA | |
| 400382 | Other | MA | TUFTS |
| AA228198 | Other | MA | HARVARD PILGRIM HEALTH CARE |
| J07206 | Other | MA | BCBS |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/17195/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619136000000",
"number": "1558866129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LANCASTER ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402807",
"telephone_number": "617-512-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MARSTON ST APT 405",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412359",
"telephone_number": "978-682-3939",
"fax_number": "617-876-1872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HESED MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-27",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A",
"authorized_official_last_name": "CHOO",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "617-512-2515",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "57709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110045454A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "400382",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "AA228198",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J07206",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.