Cytodx Physician Services

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

CYTODX PHYSICIAN SERVICES

Practice address

200 Corporate PL
Suite #8
Peabody, MA 01960-3840

Phone

(978) 548-5204

Fax

(978) 535-1934

NPI assigned

Apr 3, 2007

Last updated

Sep 11, 2025By 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

Mr. Peter Michael McNicholas

Title

Administrator

Phone

(978) 548-5204

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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.

• Carlos F Villamil, MD

  • Cytopathology Physician
  • Lexington, MA
  • NPI 1417938705
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710008719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "SUITE #8",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-548-5204",
            "fax_number": "978-535-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "SUITE #8",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-548-5204",
            "fax_number": "978-535-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYTODX PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCNICHOLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-548-5204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "CYM16695",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9781129",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy Inc (CVS Pharmacy # 02533)
• CVS Pharmacy Inc (CVS Pharmacy #00318)
• CVS Pharmacy Inc (CVS Pharmacy #04073)
• Marguerite Cycz, CNP
• Cytodx LLC
• Sara D'Addio
• Melissa R. D'Alessandro, PA-C
• Michelle D'Amico
• Karl J D'Silva, M.D.
• Jonathon Dean Dahlquist, CMHC

• Anatomic Pathology & Clinical Pathology Physician in Peabody, MA
• Providers in Peabody, MA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.