Active NPI
Lung Specialists of Merrimack
Doing business as Lung Specialists of the Merrimack Valley, P.C.
- Critical Care Medicine (Internal Medicine) Physician
- Lowell, MA
National Provider Identifier
1881688323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- LUNG SPECIALISTS OF MERRIMACK
- Doing business as
- Lung Specialists of the Merrimack Valley, P.C.
- Practice address
- 275 Varnum Ave
Suite 203
Lowell, MA 01854-2109 - Phone
- (978) 934-9220
- Fax
- (978) 453-7771
- NPI assigned
- Sep 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denis Y Lin, MD
- Title
- Treasurer
- Phone
- (978) 934-9220
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary | ||
| Pulmonary Disease Physician | 207RP1001X |
Addresses
Primary practice location
275 Varnum Ave
Suite 203
Lowell, MA 01854-2109
Mailing address
275 Varnum Ave
Suite 203
Lowell, MA 01854-2109
Phone (978) 934-9220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110068782A | Medicaid | MA |
Other names 1
- Lung Specialists of the Merrimack Valley, P.C.
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Lung Specialists of the Merrimack Valley, P.C.
- Sleep Medicine (Internal Medicine) Physician
- Lowell, MA
- NPI 1124458120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1881688323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 VARNUM AVE",
"address_2": "SUITE 203",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542109",
"telephone_number": "978-934-9220",
"fax_number": "978-453-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VARNUM AVE",
"address_2": "SUITE 203",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542109",
"telephone_number": "978-934-9220",
"fax_number": "978-453-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNG SPECIALISTS OF MERRIMACK",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-09",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "DENIS",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "978-934-9220",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110068782A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lung Specialists of the Merrimack Valley, P.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.