Mass General Brigham Medical Group Suburban Massachusetts Inc
Organization Active NPI Clinical Medical Laboratory · South Weymouth, MA
NPI 1699622134 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1699622134
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC
- Practice address
- 541 Main St Ste 420
South Weymouth, MA 02190-1889 - Phone
- (781) 952-1367
- NPI assigned
- Mar 13, 2026
- Organization subpart
- No
Authorized official
- Name
- Joanna Hazell
- Title
- Director, Rco Provider Enrollment
- Phone
- (781) 254-4854
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 534
-
Erin Nicole Abdallah, PA-C
-
Janeiro Uloma Achibiri, M.D.
-
Jessica P Aidlen, M.D.
-
John S Albin, MD, PHD
-
Saif A. Alenizi, M.D., M.P.H.
-
Diab Ali, MD
-
Gene Alperovich, MD
-
Rafael Antonio Altieri, M.D.
-
Perry G. An, MD
-
Bret Adam Ancowitz, M.D.
-
Elvis Joel Aponte-Rivera, M.D.
-
Areen Artinian, PA-C
-
Reza Askari, M.D.
-
Joel Noam Auslander, M.D.
-
Melissa Ann Ayer, CNP, RN
-
Christopher R. Baca, M.D.
-
Caroline Sage Bader, M.D.
-
Yousef Badran, MD
-
Jennifer Rose Balukonis, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0689168 | MGB Pathology - Hma Main Lab | Accreditation | Sep 15, 2027 |
| 22D1097936 | Mass General Brigham (South Weymouth) | Provider-performed microscopy | Nov 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260423000604 | MA | Part B Supplier - Independent Clinical Laboratory | 0244133494 | Practice locations: South Weymouth, MA |
National Provider Directory
- Tax ID family
- Newton Wellesley Ambula
Locations
101 Columbian St
Rm 364
South Weymouth, MA 02190
Phone (781) 952-1367
541 Main St
Weymouth, MA 02190
Phone (781) 331-7866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
541 Main St Ste 420
South Weymouth, MA 02190-1889
Mailing address
399 Revolution Dr Ste 580
Somerville, MA 02145-1572
Phone (617) 726-3884
Other practice location 1
101 Columbian St Rm 364
South Weymouth, MA 02190-1601
Phone (781) 952-1367
Other names
- MGB Pathology - HMA Main Lab
Other providers in South Weymouth, MA
- Dana Marie Marchant
- Anthony D. Marks
- Shawna Marie Maroney
- Fernando Jorge Martinez
- Khady Mascarenhas
- Julianna Mastropierro
- Stella Maria Matarazzo
- Isabel May
- Kittika Mayall
- Gabrielle Mary Mazza
All providers in South Weymouth, 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 Mar 27, 2026. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.