Individual provider Active NPI

Susan V.G. Lincoln, M.D.

  • Obstetrics Physician
  • Needham, MA
National Provider Identifier
1568423119
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
50236 Issued in MA
Practice address
392 Chestnut St
2ND Floor
Needham, MA 02492-2411
Phone
(617) 754-1800
Fax
(617) 754-1820
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 50236 MA Primary

Addresses

Primary practice location

392 Chestnut St
2ND Floor
Needham, MA 02492-2411

Mailing address

392 Chestnut St
2ND Floor
Needham, MA 02492-2411
Phone (617) 754-1800

Other identifiers 3

IdentifierTypeStateIssuer
712272OtherMATUFTS
0700747OtherMAUNITED HEALTH CARE
13152OtherMAHARVARD PILGRIM

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

392 Chestnut St
Fl 2
Needham, MA 02492
Phone (617) 754-1800

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1568423119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 CHESTNUT ST",
            "address_2": "2ND FLOOR",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922411",
            "telephone_number": "617-754-1800",
            "fax_number": "617-754-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 CHESTNUT ST",
            "address_2": "2ND FLOOR",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922411",
            "telephone_number": "617-754-1800",
            "fax_number": "617-754-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "SUSAN",
        "middle_name": "V.G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MA",
            "license": "50236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "712272",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0700747",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "13152",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.