NPIMap

Organization Active NPI

North Shore Ophthalmic Associates Inc

  • Ophthalmology Physician
  • Salem, MA
National Provider Identifier
1750375713
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTH SHORE OPHTHALMIC ASSOCIATES INC
Practice address
79 Highland Ave
Salem Hospital Medical Office Building Suite 101
Salem, MA 01970-2711
Phone
(978) 744-1900
Fax
(978) 744-3333
NPI assigned
Sep 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph John Greco, MDNPI 1699760512
Title
President
Phone
(978) 744-1900

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

79 Highland Ave
Salem Hospital Medical Office Building Suite 101
Salem, MA 01970-2711

Mailing address

79 Highland Ave
Salem Hospital Medical Office Building Suite 101
Salem, MA 01970-2711
Phone (978) 744-1900

Other identifiers 1

IdentifierTypeStateIssuer
9705082MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750375713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HIGHLAND AVE",
            "address_2": "SALEM HOSPITAL MEDICAL OFFICE BUILDING  SUITE 101",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702711",
            "telephone_number": "978-744-1900",
            "fax_number": "978-744-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HIGHLAND AVE",
            "address_2": "SALEM HOSPITAL MEDICAL OFFICE BUILDING  SUITE 101",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702711",
            "telephone_number": "978-744-1900",
            "fax_number": "978-744-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE OPHTHALMIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-744-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9705082",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.