Beth Israel Lahey Health Primary Care, Inc.
Organization Active NPI Urgent Care Clinic/Center · Gloucester, MA
NPI 1609396803 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1609396803
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC.
- Practice address
- Lahey Health Urgent Care Gloucester
298 Washington St.
Gloucester, MA 01930 - Phone
- (978) 238-4000
- NPI assigned
- Jun 20, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- BETH ISRAEL LAHEY HEALTH INC
Authorized official
- Name
- Alex Barker
- Title
- President
- Phone
- (781) 552-0022
Other NPIs on the same Medicare enrollment 7
Practitioners 26
-
Monica Belletete, NP
-
Carla Brogna, PA
-
Jennifer L Burzyk, APRN,FNP-C, PMHNP-BC
-
Dawn Buxbaum, NP
-
Kellie Condon, PA-C
-
Gina Marie Deignan, PA-C
-
Roberta Lyn Morrison, NURSE PRACTITIONER
-
Julian Perti, PA-C
-
Maryanne Makredes Senna, M.D.
-
Tiffany Sun, M.D. PH.D.
-
Laurie E Woods, NP
-
Neera Nathan, MD
-
Kyra Leigh Cui, MS
-
Sara Grant, FNP
-
Leanne Lee, M.D.
-
Elinor M Milder, MD
-
Sarah W Morrison, MD
-
Patrick Sabia III, M.D.
-
Ani Tahmassian, M.D.
-
Rebecca Faith Tharaud, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160517000441 | MA | Part B Supplier - Clinic/Group Practice | 7719291434 |
Receives reassigned benefits from 449 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Burlington, MA; South Hamilton, MA; Middleboro, MA; Manchester, MA; Gloucester, MA; Lynnfield, MA; Danvers, MA |
National Provider Directory
Locations
480 Maple St
Ste 106
Danvers, MA 01923
305 Gloucester Crossing Rd
Gloucester, MA 01930
Phone (978) 304-8380
101 Station Lndg
Ste 500
Medford, MA 02155
Phone (781) 306-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
Lahey Health Urgent Care Gloucester
298 Washington St.
Gloucester, MA 01930
Mailing address
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8330
Other names
- Lahey Physician Community Organization I INC
Other providers in Gloucester, MA
- Judith Bergeron
- Melissa Berndt
- Jenny Sarah Bernstein Rangan
- Angelo Anthony Bertolino Jr.
- Jessica Bertozzi
- Beth Israel Lahey Health Specialty Care, Inc.
- Charlee Bianchini
- Alexandria Beverly Biberger
- Matina Theresa Lynn Billante
- Sarah Eileen Binari
All providers in Gloucester, MA · Urgent Care Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.