Individual provider Active NPI

Lawrence S Block, MD

  • Cardiovascular Disease Physician
  • Lynn, MA
National Provider Identifier
1710906359
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
49960 Issued in MA
Practice address
480 Lynnfield St
Lynn, MA 01904-1419
Phone
(781) 595-1564
Fax
(781) 595-1580
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 49960 MA Primary

Addresses

Primary practice location

480 Lynnfield St
Lynn, MA 01904-1419

Mailing address

480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 595-1564

Other identifiers 1

IdentifierTypeStateIssuer
3016056MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000838 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678520442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Tufts University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

102 Endicott St
MGH North Shore Medical
Danvers, MA 01923-3623
Phone (978) 882-6100

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49960MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jun 23, 2016 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jun 23, 2016 Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100

480 Lynnfield St
Lynn, MA 01904
Phone (781) 581-3280

17 Centennial Dr
Peabody, MA 01960
Phone (978) 977-3434

331 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 740-5506

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

331 Highland Ave
Salem, MA 01970
Phone (978) 744-3499

Interoperability endpoints

  • Direct secure messaging: block.lawrence.nscar@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1710906359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041419",
            "telephone_number": "781-595-1564",
            "fax_number": "781-595-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041419",
            "telephone_number": "781-595-1564",
            "fax_number": "781-595-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "LAWRENCE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "49960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3016056",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.