Active NPI
Janet Ellen Mayne, D.N.P.
- Internal Medicine Physician
- Wilmington, MA
National Provider Identifier
1720061161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 132445
- Practice address
- 500 Salem St
Woburn Medical Associates PC
Wilmington, MA 01887-1200 - Phone
- (978) 988-9255
- Fax
- (978) 694-9675
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 132445 | MA | Primary |
Addresses
Primary practice location
500 Salem St
Woburn Medical Associates PC
Wilmington, MA 01887-1200
Mailing address
P.O. Box 760
Winchester, MA 01890-4260
Phone (781) 756-7273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0382001 | Medicaid | MA | |
| NP2369 | Other | BCBS |
Other names 1
- Janet Ellen Murphy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132445 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woburn Medical Associates PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Woburn, MA
- NPI 1104813476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1720061161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 760",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018904260",
"telephone_number": "781-756-7273",
"fax_number": "781-721-0725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SALEM ST",
"address_2": "WOBURN MEDICAL ASSOCIATES PC",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018871200",
"telephone_number": "978-988-9255",
"fax_number": "978-694-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNE",
"first_name": "JANET",
"middle_name": "ELLEN",
"credential": "D.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "132445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0382001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NP2369",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "MURPHY",
"middle_name": "ELLEN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.