Active NPI
Juan I Litvan, MD
- Internal Medicine Physician
- New Bedford, MA
National Provider Identifier
1609033604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 234817
- Practice address
- 101 Page St
Southcoast Physician Services Inc
New Bedford, MA 02740 - Phone
- (508) 961-5919
- Fax
- (508) 961-5916
- NPI assigned
- May 19, 2008
- Last updated
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 234817 | MA | Primary |
Addresses
Primary practice location
101 Page St
Southcoast Physician Services Inc
New Bedford, MA 02740
Mailing address
370 Faunce Corner Road
Southcoast Physician Services Inc
New Bedford, MA 02747
Phone (508) 985-2000
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Healthcare Services, LLC | Past | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Internal Medicine | 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.
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-
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- Fairhaven, MA
- NPI 1336137629
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1609033604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 FAUNCE CORNER ROAD",
"address_2": "SOUTHCOAST PHYSICIAN SERVICES INC",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02747",
"telephone_number": "508-985-2000",
"fax_number": "508-985-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PAGE ST",
"address_2": "SOUTHCOAST PHYSICIAN SERVICES INC",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02740",
"telephone_number": "508-961-5919",
"fax_number": "508-961-5916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITVAN",
"first_name": "JUAN",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "234817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.