Middlesex Gasteroentology PC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

MIDDLESEX GASTEROENTOLOGY PC

Practice address

190 Groton Rd
190
Ayer, MA 01432-3205

Phone

(978) 772-3547

Fax

(978) 772-0558

NPI assigned

Dec 30, 2011

Organization subpart

Yes

Parent organization

MIDDLESEX GASTROENTEROLOGY PCAs reported in NPPES

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

Authorized official

Name

Raj Deuarajan, MD

Title

President

Phone

(975) 429-2010

Specialties & licenses 1

Addresses

Tax ID family

Middlesex Gastroenterol2 organizations share this tax ID, including this one

Part of

Middlesex Gastroenterol

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Middlesex Gasteroentology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Acton, MA
  • NPI 1316424591
  NPD tax ID

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1700156239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 190",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014323205",
            "telephone_number": "978-772-3547",
            "fax_number": "978-772-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "190",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014323205",
            "telephone_number": "978-772-3547",
            "fax_number": "978-772-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX GASTEROENTOLOGY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLESEX GASTROENTEROLOGY PC",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "DEUARAJAN",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "975-429-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Rae McInnes, LMT
• Saroeun McKean, RN
• Marilyn C McMillan, RN, BSN
• Michael J. Older, MD PC
• Michael V. Elman M.D., P.C.
• Monitor Home Care Inc.
• Monitor Transport Inc
• Michaela Alexis Montecalvo, PA-C
• Margaret Moore, LICSW
• Asha A Naidu, MD

• Endoscopy Clinic/Center in Ayer, MA
• Providers in Ayer, MA by specialty
• Endoscopy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.