Mass General Brigham Community Physicians Inc
Organization Active NPI Clinical Medical Laboratory · Haverhill, MA
NPI 1659790905 · NPPES record last updated Dec 22, 2025
Key facts
- NPI
- 1659790905
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 3152 (MA)
- Legal business name
- MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC
- Practice address
- 1 Parkway
Haverhill, MA 01830-6278 - Phone
- (978) 557-8771
- NPI assigned
- Apr 15, 2014
- Organization subpart
- No
Authorized official
- Name
- Lynn Stofer
- Title
- President & Coo
- Phone
- (857) 282-5157
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 4
Practitioners 433
-
Todd Earl Abbott, M.D.
-
Michael J Abele, MD
-
Stephen A Abraham, M.D.
-
Janeiro Uloma Achibiri, M.D.
-
Andey Amata-Kynvi, MSN, CNP, AGNP
-
Christine Diane Amitay, M.D.
-
Jessica Andrade, DO
-
Richard Assaker, MD
-
Seema Azam, M.D.
-
Badr Badreldin, MD
-
Vinit Baliyan, MBBS
-
Samjhana Basnyat, M.D.
-
James C Bass III, MD
-
James Scott Bath, M.D.
-
Stephen Beaudoin, M.D.
-
Christina Benoit, FNP-BC
-
Jonathan M. Bisaillon, M.D.
-
Gregory E Blackman, M.D.
-
Perry Elizabeth Blank, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150731015329 | MA | Part B Supplier - Independent Clinical Laboratory | 1759273436 | Practice locations: Haverhill, MA |
National Provider Directory
- Tax ID family
- Pchi Dba Cape Ann Med C
Locations
500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800
360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 3152 | MA | Yes |
Addresses
Primary practice location
1 Parkway
Haverhill, MA 01830-6278
Mailing address
800 Boylston St
Boston, MA 02199-1900
Phone (857) 282-2028
Other providers in Haverhill, MA
- David William Martin
- Matthew Martin
- Jessica Pauline Martinez Mercedes
- Rosanna J. Martinez
- Heather K Martyn
- Mass General Brigham Community Physicians Inc
- Mass General Brigham Community Physicians Inc.
- Mass General Brigham Community Physicians Inc.
- Mass General Brigham Medical Group Northern Massachusetts Inc
- Massachusetts Mobile Pet PC
All providers in Haverhill, MA · Clinical Medical Laboratory in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.