Individual provider Active NPI

Aldo Mali

  • Physician Assistant
  • Lynn, MA
National Provider Identifier
1730791823
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8244 Issued in MA
Practice address
16 Rand St
Lynn, MA 01904-2914
Phone
(781) 780-2127
NPI assigned
Aug 19, 2020
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA8244 MA Primary

Addresses

Primary practice location

16 Rand St
Lynn, MA 01904-2914

Mailing address

16 Rand St
Lynn, MA 01904-2914
Phone (781) 780-2127

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117000395 MA Practitioner - Physician Assistant 6507255387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

15 Carlson LN
Unit 15B
Falmouth, MA 02540-2534
Phone (774) 255-1739

211 State St
Unit C
Belchertown, MA 01007-9271
Phone (413) 725-4214

280 Union St
Suite 302
Lynn, MA 01901-1353
Phone (781) 731-6804

306 Race St
FL 2
Holyoke, MA 01040-5720
Phone (413) 650-0590

360 Merrimack St
Lawrence, MA 01843-1740
Phone (413) 584-2173

40 Church Ave
Suite 202
Wareham, MA 02571-2093
Phone (774) 678-4480

489 Bernardston Rd
Suite 108
Greenfield, MA 01301-1239
Phone (413) 376-4343

53 Eagle St
FL 3
Pittsfield, MA 01201-5376
Phone (413) 347-4088

61 Industrial Park Rd
Suite 2
Plymouth, MA 02360-7246
Phone (508) 503-5020

77 Hospital Ave
Suite 107
North Adams, MA 01247-2538
Phone (413) 346-2544

900 Memorial Ave
West Springfield, MA 01089-3557
Phone (413) 584-2173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Centers, LLC CurrentSince Aug 13, 2021 Accepting new patients

Locations

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

77 Hospital Ave
Ste 107
North Adams, MA 01247
Phone (413) 398-1000

53 Eagle St
Ste 3
Pittsfield, MA 01201
Phone (413) 236-5959

53 Eagle St
Ste 4
Pittsfield, MA 01201

61 Industrial Park Rd
Ste 2
Plymouth, MA 02360
Phone (508) 503-5020

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1730791823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RAND ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042914",
            "telephone_number": "781-780-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 RAND ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042914",
            "telephone_number": "781-780-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALI",
        "first_name": "ALDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.