Northshore Physicians Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

219213 Issued in MA

Legal business name

NORTHSHORE PHYSICIANS ASSOCIATES PC

Practice address

85 Constitution LN
Suite 1G
Danvers, MA 01923-3694

Phone

(978) 777-9090

NPI assigned

May 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Somi, MDNPI 1356304646

Title

President

Phone

(978) 777-9090

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

Interoperability endpoints

• Direct secure messaging: somi.marvin.nspapc@direct.partners.masshiway.net

Practitioners 1

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

• Marvin George Somi, MD

  • Internal Medicine Physician
  • Danvers, MA
  • NPI 1356304646
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1368921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1770929606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CONSTITUTION LN",
            "address_2": "SUITE 1G",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233694",
            "telephone_number": "978-777-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CONSTITUTION LN",
            "address_2": "SUITE 1G",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233694",
            "telephone_number": "978-777-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE PHYSICIANS ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-19",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "SOMI",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-777-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "219213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021901",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Danvers, MA
• Providers in Danvers, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.