Alexeyenko Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

77955 Issued in MA

Legal business name

ALEXEYENKO MEDICAL ASSOCIATES PC

Practice address

24 State St
Lynn, MA 01901-1505

Phone

(781) 581-6181

Fax

(781) 599-3229

NPI assigned

Sep 26, 2005

Last updated

Oct 14, 2014By 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

Alexandre Alexeyenko, M.D.NPI 1568464279

Title

President

Phone

(781) 581-6181

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: alexeyenko.alexandre.ama@direct.partners.masshiway.net
• Direct secure messaging: natapov.irina.ama@direct.partners.masshiway.net
• Direct secure messaging: seliverstov.irina.ama@direct.partners.masshiway.net

Practitioners 7

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.

• Alexandre Alexeyenko, M.D.

  • Internal Medicine Physician
  • Lynn, MA
  • NPI 1568464279
  Medicare reassignment Care Compare group Authorized official
• Irina G Natapov, M.D.

  • Obstetrics & Gynecology Physician
  • Lynn, MA
  • NPI 1619979408

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Irina Seliverstov, N.P.

  • Nurse Practitioner
  • Lynn, MA
  • NPI 1386646099
  Medicare reassignment Care Compare group NPD
• Sophia Viner, APRN

  • Adult Health Nurse Practitioner
  • Sarasota, FL
  • NPI 1396993317

  MA

  Medicare reassignment NPD
• Yulia Rapoport, RN, FNP-C

  • Family Nurse Practitioner
  • Needham, MA
  • NPI 1376041905
  Medicare reassignment
• Sofia B Melenevskaya, MD

  • Specialist
  • Brighton, MA
  • NPI 1255498192
  NPD (past)
• Alexander Tverskoy, M.D.

  • Ph.D. Medical Genetics
  • Brighton, MA
  • NPI 1760426639
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1669468419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STATE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011505",
            "telephone_number": "781-581-6181",
            "fax_number": "781-599-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STATE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011505",
            "telephone_number": "781-581-6181",
            "fax_number": "781-599-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXEYENKO MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "ALEXEYENKO",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-581-6181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "77955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9785647",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Marie Aleman Rosario, RN
• Mark Jason Alexakos, MD
• Sara Lyn Alexakos, PSY.D.
• Alexeyenko Medical Associates
• Alexeyenko Medical Associates Lynn
• Alexandre Alexeyenko, M.D.
• Caelle Alexis
• Asraa Alfatlawi
• Erica Alicandro, LCSW
• Makayla Alioto, RN

• Internal Medicine Physician in Lynn, MA
• Providers in Lynn, 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 Oct 14, 2014; 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.