Organization Active NPI

Newburyport Gi LLC

  • Specialist
  • Newburyport, MA
National Provider Identifier
1629479340
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEWBURYPORT GI LLC
Practice address
255 Low St
Suite 201
Newburyport, MA 01950-3594
Phone
(978) 465-4622
Fax
(978) 465-4111
NPI assigned
Sep 12, 2014
Last updated
Sep 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Richard A Zirin, M.D.NPI 1548267883
Title
Owner
Phone
(978) 465-4622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

255 Low St
Suite 201
Newburyport, MA 01950-3594

Mailing address

255 Low St
Suite 201
Newburyport, MA 01950-3594
Phone (978) 465-4622

Other identifiers 1

IdentifierTypeStateIssuer
110070784AMedicaidMA

National Provider Directory

National Provider Directory

Locations

255 Low St
Ste 201
Newburyport, MA 01950
Phone (978) 465-4622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1629479340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LOW ST",
            "address_2": "SUITE 201",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503594",
            "telephone_number": "978-465-4622",
            "fax_number": "978-465-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LOW ST",
            "address_2": "SUITE 201",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503594",
            "telephone_number": "978-465-4622",
            "fax_number": "978-465-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURYPORT GI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "ZIRIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-465-4622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110070784A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.