Active NPI
Mark C. Nitzberg, M.D.
- Gastroenterology Physician
- Methuen, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 74584
- Practice address
- 38R Merrimack St.
Suite 2C
Methuen, MA 01844 - Phone
- (978) 681-1977
- Fax
- (978) 686-8918
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 74584 | MA | Primary |
Addresses
Primary practice location
38R Merrimack St.
Suite 2C
Methuen, MA 01844
Mailing address
380R Merrimack St.
Suite 2C
Methuen, MA 01844
Phone (978) 681-1977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Massachusetts Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16 Keewaydin Dr
Salem, NH 03079-2839
Phone (603) 401-6466
380 R Merrimack St
Suite 2C
Methuen, MA 01844-5884
411 Merrimack St
Suite 202
Methuen, MA 01844-5821
Phone (978) 681-1977
70 E St
Methuen, MA 01844-4597
Phone (978) 687-0151
Hospital & facility affiliations
- Merrimack Health Lawrence Hospital
- Holy Family Hospital
- Winchester Hospital
- Northeast Hospital Corporation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 123 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74584 | MA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark C. Nitzberg, P.C. | Gastroenterology | Current | Accepting new patients |
Locations
411 Merrimack St
Ste 202
Methuen, MA 01844
Phone (978) 681-1977
380R Merrimack St
Ste 2C
Methuen, MA 01844
Phone (978) 681-1977
16 Keewaydin Dr
Salem, NH 03079
Phone (603) 401-6466
Interoperability endpoints
- https://api.platform.athenahealth.com/12318/brand/1/csg/1/fhir/r4
- mark.nitzberg.1@12318.direct.athenahealth.com
Organizations & group practices 1
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
dba Merrimack Health Methuen Hospital
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1881652758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380R MERRIMACK ST.",
"address_2": "SUITE 2C",
"city": "METHUEN",
"state": "MA",
"postal_code": "01844",
"telephone_number": "978-681-1977",
"fax_number": "978-686-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38R MERRIMACK ST.",
"address_2": "SUITE 2C",
"city": "METHUEN",
"state": "MA",
"postal_code": "01844",
"telephone_number": "978-681-1977",
"fax_number": "978-686-8918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITZBERG",
"first_name": "MARK",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "74584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.