Organization Active NPI

Incare Lawrence PLLC

  • Pulmonary Disease Physician
  • North Andover, MA
National Provider Identifier
1730765496
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
INCARE LAWRENCE PLLC
Practice address
565 Turnpike St Ste 85
North Andover, MA 01845-5936
Phone
(978) 689-2247
Fax
(978) 689-7305
NPI assigned
Mar 23, 2021
Last updated
May 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
INCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Dr. Essam Ansari, MDNPI 1992812572
Title
Owner
Phone
(617) 290-4245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

565 Turnpike St Ste 85
North Andover, MA 01845-5936

Mailing address

50 Dolphin Rd
Newton, MA 02459-1305
Phone (617) 290-4245

Other identifiers 2

IdentifierTypeStateIssuer
1639655467OtherBCBS
1639655467MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.incarephysicians.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211018000105 MA Part B Supplier - Clinic/Group Practice 0648678953 Receives reassigned benefits from 55 practitioners
Practice locations: North Andover, MA

National Provider Directory

National Provider Directory
Part of
Incare LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 55

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 55

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1730765496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DOLPHIN RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591305",
            "telephone_number": "617-290-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST STE 85",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455936",
            "telephone_number": "978-689-2247",
            "fax_number": "978-689-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARE LAWRENCE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INCARE LLC",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "ESSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-290-4245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1639655467",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639655467",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.incarephysicians.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "565 Turnpike St Ste 85",
            "city": "North Andover",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018455936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.