Center for Digestive Wellness PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

74135 Issued in MA

Legal business name

CENTER FOR DIGESTIVE WELLNESS PC

Practice address

105 Erdman Way
Leominster, MA 01453-1805

Phone

(978) 537-7552

Fax

(978) 537-7383

NPI assigned

Dec 21, 2017

Last updated

Dec 21, 2017By 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

Elliot J Feinberg, MDNPI 1962442491

Title

President

Phone

(978) 537-7552

Specialties & licenses 1

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.

• Elliot J Feinberg, M.D.

  • Gastroenterology Physician
  • Leominster, MA
  • NPI 1962442491
  NPD Authorized official

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1730695172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDWARD ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212303",
            "telephone_number": "781-821-9510",
            "fax_number": "781-821-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ERDMAN WAY",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531805",
            "telephone_number": "978-537-7552",
            "fax_number": "978-537-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIGESTIVE WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-537-7552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "74135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "FEJ11036",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110106163A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina M Ceckowski
• Yaileen Celado
• Adrianna Rose Celeste, MT-BC
• Center for Counseling and Wellness LLC (Josephine Amato)
• Center for Digestive Wellness PC
• Centmass Association of Physicians, Inc.
• Centmass Imaging, Inc.
• Central Mass Oral and Maxillofacial Surgery, P.C.
• Central Mass Urology Associates, P.C.
• Central Massachusetts Ambulatory Endoscopy Center LLC

• Gastroenterology Physician in Leominster, MA
• Providers in Leominster, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.