Individual provider Active NPI

Mikhail Narov

  • Driver
  • Lynn, MA
National Provider Identifier
1881887941
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
LV13960 Issued in MA
Practice address
15 Deer Cove Rd
Lynn, MA 01902-3119
Phone
(781) 592-8952
Fax
(617) 531-2050
NPI assigned
Aug 22, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X LV13960 MA Primary

Addresses

Primary practice location

15 Deer Cove Rd
Lynn, MA 01902-3119

Mailing address

15 Deer Cove Rd
Lynn, MA 01902-3119
Phone (781) 592-8952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LV13960MAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1881887941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DEER COVE RD",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023119",
            "telephone_number": "781-592-8952",
            "fax_number": "617-531-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DEER COVE RD",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023119",
            "telephone_number": "781-592-8952",
            "fax_number": "617-531-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAROV",
        "first_name": "MIKHAIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MA",
            "license": "LV13960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.