Individual provider Active NPI

Martyna Rusinowicz, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Framingham, MA
National Provider Identifier
1831670389
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2313421 Issued in MA
Practice address
1 Frederick Abbott Way
Framingham, MA 01701-7992
Phone
(508) 879-9800
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2313421 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2313421 MA Primary

Addresses

Primary practice location

1 Frederick Abbott Way
Framingham, MA 01701-7992

Mailing address

1 Derby SQ Ste 10
Salem, MA 01970-3704

Other practice location 1

500 Lynnfield St
Lynn, MA 01904-1424
Phone (781) 477-3321

Other practice location 2

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2450

Other practice location 3

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2450

Other practice location 4

81 Highland Ave
Salem, MA 01970
Phone (978) 354-2450

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910003016 MA Practitioner - Nurse Practitioner 9032448428 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2313421MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayside Youth and Family Support Network CurrentSince Jan 30, 2025 Accepting new patients
Moonbeam Wellness LLC Current Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Aug 5, 2019 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients
The McLean Hospital Corporation CurrentSince Jan 17, 2024 Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

1 Frederick Abbott Way
Framingham, MA 01701
Phone (508) 270-1275

500 Lynnfield St
Lynn, MA 01904
Phone (781) 477-3940

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: rusinowicz.martyna.nsmc@direct.partners.masshiway.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1831670389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DERBY SQ STE 10",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FREDERICK ABBOTT WAY",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017992",
            "telephone_number": "508-879-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Lynnfield St",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019041424",
            "country_code": "US",
            "telephone_number": "781-477-3321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019702714",
            "country_code": "US",
            "telephone_number": "978-354-2450",
            "fax_number": "978-354-2496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019702714",
            "country_code": "US",
            "telephone_number": "978-354-2450",
            "fax_number": "978-354-2496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "01970",
            "country_code": "US",
            "telephone_number": "978-354-2450",
            "fax_number": "978-354-2496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSINOWICZ",
        "first_name": "MARTYNA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2313421",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2313421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.