NPIMap

Organization Active NPI

Salem New Hampshire Physicians Network PC

  • Internal Medicine Physician
  • Salem, NH
National Provider Identifier
1770519969
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SALEM NEW HAMPSHIRE PHYSICIANS NETWORK PC
Practice address
289 Main St
Salem, NH 03079
Phone
(603) 898-6363
Fax
(603) 898-6158
NPI assigned
Jun 23, 2006
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Vartan Yeghiazarians, MDNPI 1134130735
Title
President
Phone
(978) 685-5627

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

289 Main St
Salem, NH 03079

Mailing address

411 Merrimack St
Methuen, MA 01844
Phone (978) 685-5627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060125000221 NH Part B Supplier - Clinic/Group Practice 3173547486 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, NH
O20070122000596 MA Part B Supplier - Clinic/Group Practice 3173547486 Receives reassigned benefits from 5 practitioners
Practice locations: Methuen, MA

National Provider Directory

National Provider Directory

Locations

380 Merrimack St
Fl 2
Methuen, MA 01844

411 Merrimack St
Ste 104
Methuen, MA 01844
Phone (508) 662-7632

Practitioners & affiliated clinicians

Practitioners 6

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": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1770519969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MERRIMACK ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-685-5627",
            "fax_number": "978-688-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "03079",
            "telephone_number": "603-898-6363",
            "fax_number": "603-898-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM NEW HAMPSHIRE PHYSICIANS NETWORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "YEGHIAZARIANS",
        "authorized_official_first_name": "VARTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-685-5627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.