Essex Medical Associates

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

154422 Issued in MA

Legal business name

ESSEX MEDICAL ASSOCIATES

Practice address

451 Andover St
Suite 206
North Andover, MA 01845-5044

Phone

(978) 725-3636

Fax

(978) 327-6827

NPI assigned

Oct 17, 2005

Last updated

Dec 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vani Sree Reddi, M.D.

Title

Owner

Phone

(978) 725-3636

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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.

• Vani Sree Reddi-Cullen, M.D.

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1407803299
  Medicare reassignment NPD
• Kimberly J Costa, NP

  • Adult Health Nurse Practitioner
  • Medford, MA
  • NPI 1912957887
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1649269135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WORTHEN PL",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102846",
            "fax_number": "978-327-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE 206",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-725-3636",
            "fax_number": "978-327-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "REDDI",
        "authorized_official_first_name": "VANI",
        "authorized_official_middle_name": "SREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-725-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "154422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A28560",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3181235",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Epstein, CRNP
• Equally Expressed, LLC
• Janet M Equi, M.A., C.C.C.
• Eliza Espinosa-Thomas, LMHC
• Essex Inpatient Physicians, PC
• Essex Optical Corporation (Parrelli Optical)
• Ethical Homecare Services Inc.
• Tayler Evans, PHARM.D.
• Evenpath Treatment Center LLC
• Express Healthcare Group Inc

• Primary Care Clinic/Center in North Andover, MA
• Providers in North Andover, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.