Jeffrey S Gorodetsky, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

262412 Issued in MA

Practice address

165 Mill St
Leominster, MA 01453-3289

Phone

(978) 466-3212

Fax

(978) 534-3581

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

George Washington University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
• Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hallmark Health Medical Associates Inc

  • Family Medicine Physician
  • Medford, MA
  • NPI 1770563900
  Medicare reassignment Care Compare group NPD
• Carecentral Urgent Care Medical Group PC

  • Urgent Care Clinic/Center
  • Stoughton, MA
  • NPI 1922385319
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• VMD Primary Providers Massachusetts PLLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1912573999

  MA

  Medicare reassignment NPD
• Carecentral Urgent Care Medical Group PC

  • Urgent Care Clinic/Center
  • Halifax, MA
  • NPI 1053119677
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Reliant Medical Group, Inc

  • Physical Therapist
  • Worcester, MA
  • NPI 1295827962
  NPD (past)
• Winchester Physician Associates

  • Internal Medicine Physician
  • North Reading, MA
  • NPI 1215919931
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lahey Clinic Hospital, Inc.

  • General Acute Care Hospital
  • Burlington, MA
  • NPI 1558392563
  Care Compare affiliation
• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Care Compare affiliation

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1780613935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PLANTATION ST",
            "address_2": "WOT 12TH FL",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052038",
            "telephone_number": "508-368-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MILL ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533289",
            "telephone_number": "978-466-3212",
            "fax_number": "978-534-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORODETSKY",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME0053894",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "262412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "07463",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Aupperlee Good, R.N/N.P
• Jamie Goodgion
• Michelle Ann Goodnow, M.S.W.
• Poornima Gopalakrishnan, DDS
• Rachel Gopfert
• Michael Edwad Gotthelf I, M.D.
• Debra Ann Gould, PTA
• Thomas Robert Gould, MA
• Eunibis Gouverneur, B.S.
• Grace Aging Services LLC

• Family Medicine Physician in Leominster, MA
• Providers in Leominster, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.