Active NPI
Nicole Anna Louis-Jean, DO
- Family Medicine Physician
- Ipswich, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 295367
- Practice address
- 36 Essex Rd Ste 1
Ipswich, MA 01938-2609 - Phone
- (978) 356-5522
- Fax
- (978) 356-0218
- NPI assigned
- Apr 5, 2018
- Last updated
- Nov 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 311861 | NY | |
| Family Medicine Physician | 207Q00000X | 295367 | MA | Primary |
Addresses
Primary practice location
36 Essex Rd Ste 1
Ipswich, MA 01938-2609
Mailing address
PO Box 24532
New York, NY 10087-4532
Phone (781) 744-8771
Other practice location 1
41 Mall Rd
Burlington, MA 01805-2618
Phone (781) 744-8000
Other practice location 2
13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6942
Other names 1
- Nicole Butuzov
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381
29 Mall Rd
Burlington, MA 01805-0001
298 Washington St
Addison Gilbert
Gloucester, MA 01930-4832
Phone (978) 283-4000
36 Essex Rd
Ipswich, MA 01938-2599
Phone (978) 356-5522
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8771
Hospital & facility affiliations
- Beth Israel Lahey Health at Home
- Care Dimensions, Inc
- Lahey Hospital & Medical Center, Burlington
- Northeast Hospital Corporation
- Anna Jaques Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Primary Care, Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Beth Israel Lahey Health Primary Care Inc | Current | Accepting new patients | |
| Beth Israel Lahey Health Primary Care, Inc. | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
36 Essex Rd
Ste 1
Ipswich, MA 01938
Phone (978) 356-5522
15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381
Interoperability endpoints
- https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
- https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
- nbutuzov192312@direct.bilh.masshiway.net
Organizations & group practices 4
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.
-
dba Lahey Health Urgent Care, Middleboro
- Clinic/Center
- Middleboro, MA
- NPI 1568292423
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Urology Physician
- Burlington, MA
- NPI 1043710791
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1508244195
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Danvers, MA
- NPI 1447344130
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
dba Beth Israel Lahey Health at Home
- Home Health Agency
- Woburn, MA
- NPI 1346257474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1619473733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24532",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100874532",
"telephone_number": "781-744-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 ESSEX RD STE 1",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382609",
"telephone_number": "978-356-5522",
"fax_number": "978-356-0218"
}
],
"practiceLocations": [
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018052618",
"country_code": "US",
"telephone_number": "781-744-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13303 Jamaica Ave",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114182618",
"country_code": "US",
"telephone_number": "718-206-6942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUIS-JEAN",
"first_name": "NICOLE",
"middle_name": "ANNA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "311861",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "295367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "BUTUZOV",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ipswich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.