Fathyeh F Marvasti, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

81691 Issued in MA

Practice address

267 Boston Rd
North Billerica, MA 01862-2310

Phone

(978) 663-6666

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lahey Clinic, Inc

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1063447316
  Medicare reassignment NPD
• Fathyeh Farnaz Marvasti, M.D.

  dba Billerica Family Physicians

  • Family Medicine Physician
  • Billerica, MA
  • NPI 1952437188
  NPD (past) Authorized official
• Le Vision

  • Optometrist
  • Billerica, MA
  • NPI 1649609272
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1659318756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 BOSTON RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622310",
            "telephone_number": "978-663-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 BOSTON RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622310",
            "telephone_number": "978-663-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVASTI",
        "first_name": "FATHYEH",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "81691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berenice Tchandjib Kobu, FNP
• Wai Kee Lee, D.M.D.
• Life Care Centers of America, Inc. (Life Care Center of Merrimack Valley)
• Josephine Nakazibwe Lwanga
• Stacey Allison Maclean, MSW, LICSW
• Caroline Namuzinda Mawanda
• McCormacks Drug Inc (Medical Center Pharmacy)
• McCormacks Drug Inc (Medical Center Pharmacy)
• Michelle Jann McEwen, B.A.
• Merrimack Valley Operations, LLC (Life Care Center of Merrimack Valley)

• Family Medicine Physician in North Billerica, MA
• Providers in North Billerica, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.