Well Life Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WELL LIFE MEDICAL, PC

Practice address

55 Highland Ave
Ste 101
Salem, MA 01970-2100

Phone

(978) 740-2300

Fax

(978) 744-3993

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Denise Cordero, CMA, CPC

Title

Office Manager

Phone

(978) 740-2300

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret J Layo, APRN FNP-BC

  • Family Nurse Practitioner
  • Watertown, MA
  • NPI 1184225401
  NPD
• Jillian Leigh Oppenheim, APRN BC FNP

  • Nurse Practitioner
  • Salem, MA
  • NPI 1679765465
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1669460903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE",
            "address_2": "STE 101",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-740-2300",
            "fax_number": "978-744-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE",
            "address_2": "STE 101",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-740-2300",
            "fax_number": "978-744-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LIFE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-740-2300",
        "authorized_official_credential": "CMA, CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9779809",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J13272",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "076125",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "64871",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Weinstein, LICSW
• Ned Andrew Weisman, L.I.C.S.W.
• Kristin Nichole Welch
• Amanda Weldin
• Devin Alexandra Welenc
• Elizabeth Fisk Wells, NP
• Linda Ellen Werbner, LICSW
• Shawna West, BSN-RN
• Robert A. Whelan, M.S.
• Kristen White

• Internal Medicine Physician in Salem, MA
• Providers in Salem, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.