Organization Active NPI

Mass General Brigham Medical Group Northern Massachusetts Inc

  • Durable Medical Equipment & Medical Supplies
  • Peabody, MA
National Provider Identifier
1811635899
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC
Practice address
4 Centennial Dr Ste 202
Peabody, MA 01960-7930
Phone
(978) 771-3400
NPI assigned
May 20, 2022
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Lindsay Gainer
Title
President & Coo
Phone
(857) 282-3914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4 Centennial Dr Ste 202
Peabody, MA 01960-7930

Mailing address

81 Highland Ave
Medical Staff Office
Salem, MA 01970-2714
Phone (978) 354-4173

National Provider Directory

National Provider Directory
Tax ID family
Lynnfield Medical Assoc3 organizations share this tax ID, including this one
Part of
Lynnfield Medical Assoc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1811635899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-354-4173",
            "fax_number": "978-354-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CENTENNIAL DR STE 202",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607930",
            "telephone_number": "978-771-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "GAINER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "857-282-3914"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.