Next Generation Family Practice PC
Organization Active NPI Clinic/Center · Lee, MA
NPI 1821802943 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1821802943
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- NEXT GENERATION FAMILY PRACTICE PC
- Practice address
- 312 Prospect St
Lee, MA 01238-1128 - Phone
- (413) 464-1586
- NPI assigned
- Feb 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Samantha Maher, FNP-BC
- Title
- President
- Phone
- (413) 464-1586
Practitioners 2
-
Samantha Maher, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251114002365 | MA | Part B Supplier - Clinic/Group Practice | 5698266930 |
Receives reassigned benefits from 2 practitioners Practice locations: Lee, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
312 Prospect St
Lee, MA 01238-1128
Mailing address
312 Prospect St
Lee, MA 01238-1128
Phone (413) 464-1586
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477255628 | Medicaid | MA | |
| 1477255628 | Other | MA | HNE |
| 1477255628 | Other | MA | BCBS |
Other providers in Lee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.