Riverside Surgical of Lowell PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2358523 Issued in MA

Legal business name

RIVERSIDE SURGICAL OF LOWELL PC

Practice address

33 Bartlett St
Suite 503
Lowell, MA 01852-1334

Phone

(978) 458-4300

Fax

(978) 458-4311

NPI assigned

Nov 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Wassim Mazraany, MD

Title

President

Phone

(978) 458-4300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1881023869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "address_2": "SUITE 503",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521334",
            "telephone_number": "978-458-4300",
            "fax_number": "978-458-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "address_2": "SUITE 503",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521334",
            "telephone_number": "978-458-4300",
            "fax_number": "978-458-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SURGICAL OF LOWELL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "MAZRAANY",
        "authorized_official_first_name": "WASSIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-458-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "2358523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osvaldo Rivera
• Yangel Rivera
• Riverside Medical Group PC
• Riverside Primary Care Specialists, Inc.
• Riverside Surgical Associates, PC
• Danielle Joanne Roberge
• Chelsea Roberts
• Ria Roberts, MD
• Yineska Yberais Robertson, DMD
• Kaylea Mae Robillard

• Surgery Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.