Shields Pet-CT at Emerson Hospital LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SHIELDS PET-CT AT EMERSON HOSPITAL LLC

Practice address

54 Baker Avenue Ext Ste 104
Concord, MA 01742-2137

Phone

(800) 258-4674

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Kristen Delmore

Title

Cfo

Phone

(617) 376-7400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1134254519

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Alan Hostage Jr., MD

  • Student in an Organized Health Care Education/Training Program
  • Jamaica Plain, MA
  • NPI 1386082121
  NPD
• Jonathan Youngsuk Kim, M.D.

  • Neuroradiology Physician
  • Beverly, MA
  • NPI 1205123080
  NPD
• Adhip Mukerjee, M.D.

  • Vascular & Interventional Radiology Physician
  • Concord, MA
  • NPI 1376630970
  NPD

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1760081566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CONGRESS ST STE 204",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 104",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "800-258-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS PET-CT AT EMERSON HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "DELMORE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-376-7400"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Shear, M.D.
• Nicole Sheehan
• David A Sherman, M.D.
• Suzanne Sherman, LICSW
• Virginia Sherwood, PHD
• Patricia A Shinin, DMD
• Sharon Shung
• Kimberly Shurling, OTR/L
• Erin Sienkiewicz, MD
• Rachel Siff, LICSW

• Mobile Radiology Clinic/Center in Concord, MA
• Providers in Concord, MA by specialty
• Mobile Radiology Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.