New England Reproductive Medicine and Surgery LLC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

226853 Issued in MA

Legal business name

NEW ENGLAND REPRODUCTIVE MEDICINE AND SURGERY LLC

Practice address

22 West St
Suite 25
Millbury, MA 01527-2622

Phone

(508) 238-8646

NPI assigned

Nov 1, 2013

Organization subpart

No

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

Authorized official

Name

Brian Clark, M.D.NPI 1437159795

Title

President

Phone

(508) 917-3720

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Brian M Clark, MD

  • Reproductive Endocrinology Physician
  • Millbury, MA
  • NPI 1437159795

  MA, Reproductive Endocrinology

  Medicare reassignment NPD Authorized official
• Kristen Nancy Feifert Clark, MSN CNM

  • Advanced Practice Midwife
  • Millbury, MA
  • NPI 1063841534
  NPD

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1700215670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WEST ST STE 25",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015272677",
            "telephone_number": "508-917-6720",
            "fax_number": "508-917-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WEST ST",
            "address_2": "SUITE 25",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015272622",
            "telephone_number": "508-238-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND REPRODUCTIVE MEDICINE AND SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-917-3720",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MA",
            "license": "226853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110099291A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamal Moore
• Susan P Moran, M.D.
• Hilda Muchai
• Michelle Catherine Mullaney
• Myrna Zohni DMD PC
• Rose Njeri Njenga
• Ben M Njuru, LPN
• Janice Read Nowicki, LMHC
• Kavitha Nutakki, MD
• William T O'Connor, M.D.

• All providers in Millbury, MA
• Reproductive Endocrinology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.