Organization Active NPI

North Shore Medical Center, Inc.

Doing business as Salem Hospital

  • General Acute Care Hospital
  • Salem, MA
National Provider Identifier
1730121633
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
VFCN Issued in MA
Legal business name
NORTH SHORE MEDICAL CENTER, INC.
Doing business as
Salem Hospital
Practice address
81 Highland Ave
Salem, MA 01970-2714
Phone
(978) 354-2065
NPI assigned
Jun 12, 2006
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Mr. Charles E Adams
Title
Cfo
Phone
(978) 825-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X VFCN MA Primary

Addresses

Primary practice location

81 Highland Ave
Salem, MA 01970-2714

Mailing address

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

Other names 1

  • Salem Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Enhancement Resources

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209000893 MA Part A Provider - Hospital 3274427570 Practice locations: Beverly, MA; Danvers, MA; Lynn, MA; Peabody, MA; Salem, MA; Swampscott, MA
O20040405001019 MA Part B Supplier - Clinic/Group Practice 3274427570 Receives reassigned benefits from 96 practitioners
Practice locations: Danvers, MA; Beverly, MA; Salem, MA; Lynn, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730121633. Details of each certification follow.

Hospital certification: CCN 220035

Legal name
NORTH SHORE MEDICAL CENTER, INC.
Doing business as
SALEM HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 5, 1994
Beds
415
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 28, 1997 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 2004 in MA
Enrollment address
81 Highland Ave
Salem, MA 19702714
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
North Shore Medical Center -CCN 220035 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

55 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 745-6601

Interoperability endpoints

  • Direct secure messaging: adams.caitlin.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: alkhafaji.mohammed.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: amanambu.christina.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: anderson.kristin.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: ang.anna.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: aurora.sanjay.mgh@direct.partners.masshiway.net
  • Direct secure messaging: awais.natasha.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: aydinian.taline.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: azevedo.amy.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: bajwa.kedar.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: baker.jenelle.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: balya.margaret.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: barakitis.elizabeth.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: barker.jeri.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: barreto-dsilva.lisa.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: barton.andrew.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: basciotta.matthew.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: batter.timothy.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: bean.caitlin.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: belandcohen.jenai.nsmc@direct.partners.masshiway.net

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Coleen Reid Individual Corporate DirectorBoard Member Sep 20, 2022
Rebecca S Lee Individual Corporate DirectorBoard Member Oct 30, 2023
Lucy Corchado Individual Corporate DirectorBoard Member Feb 15, 2023
Maury E McGough Individual Corporate OfficerBoard Member Sep 23, 2008
Dutrochet Djoko Individual Corporate DirectorBoard Member May 20, 2022
Gargi Cooper Individual Corporate DirectorBoard Member Nov 28, 2017
Joanna Hazell Individual Corporate DirectorDirector, Provider Enrollment Jul 1, 2025
Vinod Narra Individual Corporate DirectorBoard Member Jan 1, 2024
William V Kastrinakis Individual Corporate DirectorBoard Member May 7, 2024
Miriam Neuman Individual Corporate DirectorBoard Member Oct 30, 2023
Roxanne Ruppel Individual Corporate OfficerPresident & Coo Mar 1, 2023
Stephen L Antonakes Individual Corporate OfficerVice Chair Sep 6, 2022
Corporate DirectorBoard Member Sep 22, 2020
Lisa Carbone Individual Corporate DirectorBoard Member Jul 28, 2020
Anne Klibanski Individual Corporate OfficerPresident & Ceo MGB May 1, 2019
Mass General Brigham Incorporated Organization, Somerville, MA Non-profit 5% Or Greater Direct Ownership Interest Mar 18, 1994 100%
Charles E Adams Individual Corporate Officer Sep 1, 2017
W-2 Managing Employee Apr 10, 2008
Nate Bryant Individual Corporate OfficerVice Chair Sep 5, 2023
Corporate DirectorBoard Member Nov 26, 2019
Paul G Cushing Individual Corporate OfficerSecretary Mar 4, 2014
Elias Demakes Individual Corporate DirectorBoard Member Feb 1, 2023
David W Ives Individual Corporate OfficerChairman Jul 17, 2019
Corporate DirectorBoard Member Mar 1, 2004
Marion E. Winfrey Individual Corporate DirectorBoard Member Sep 22, 2020

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 511

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.

View all 511

Affiliated clinicians 2,626

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,626

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1730121633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-741-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-354-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-825-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "VFCN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Ability Enhancement Resources",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Court, Suite 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Salem Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.