Individual provider Active NPI

Lucy Cinderella Paniszyn, M.D.

  • Internal Medicine Physician
  • Newton Lower Falls, MA
National Provider Identifier
1609981703
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50812 Issued in MA
Practice address
2000 Washington St
Suite 546
Newton Lower Falls, MA 02462-1650
Phone
(617) 964-5020
Fax
(617) 964-3033
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50812 MA Primary

Addresses

Primary practice location

2000 Washington St
Suite 546
Newton Lower Falls, MA 02462-1650

Mailing address

2000 Washington St
Suite 546
Newton Lower Falls, MA 02462-1650
Phone (617) 964-5020

Other identifiers 7

IdentifierTypeStateIssuer
110074468OtherMARAILROAD MEDICARE
6186408MedicaidMA
J02955OtherMABLUE SHIELD
64274OtherMAHARVARD PILGRIM HEALTHCAR
0402197OtherMAUNITED HEALTHCARE
050812OtherMATUFTS HEALTH PLAN
B010420101OtherMACIGNA HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000939 MA Practitioner - Internal Medicine 7719959006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Washington St
White BLDG Suite 546
Newton, MA 02462-1624
Phone (617) 964-5020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Apr 2, 2016 Accepting new patients

Locations

2000 Washington St
Ste 546
Newton Lower Falls, MA 02462
Phone (617) 964-5020

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

2000 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

173 Worcester St
Wellesley Hls, MA 02481
Phone (781) 235-7900

Interoperability endpoints

  • Direct secure messaging: paniszyn.lucy.nwh@direct.partners.masshiway.net

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1609981703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 546",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-964-5020",
            "fax_number": "617-964-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 546",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-964-5020",
            "fax_number": "617-964-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANISZYN",
        "first_name": "LUCY",
        "middle_name": "CINDERELLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "50812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110074468",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6186408",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J02955",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "64274",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0402197",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "050812",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "B010420101",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Lower Falls, MA

Sources for this page

Verify at the official NPI Registry.