Organization Active NPI

Woburn Medical Associates PC

  • Internal Medicine Physician
  • Wilmington, MA
National Provider Identifier
1902889272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WOBURN MEDICAL ASSOCIATES PC
Practice address
500 Salem St
Woburn Medical Associates PC
Wilmington, MA 01887-1200
Phone
(978) 988-9255
Fax
(978) 694-9675
NPI assigned
Nov 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lynne Mary Tripp
Title
Office Manager
Phone
(978) 988-9255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

500 Salem St
Woburn Medical Associates PC
Wilmington, MA 01887-1200

Mailing address

500 Salem St
Woburn Medical Associates PC
Wilmington, MA 01887-1200
Phone (978) 988-9255

Other identifiers 3

IdentifierTypeStateIssuer
9764852MedicaidMA
600386OtherTUFTS
M15271OtherBCBS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0985116Bilh PC Woburn Medical Associates500 Salem Street, Wilmington, MA 01887Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902889272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SALEM ST",
            "address_2": "WOBURN MEDICAL ASSOCIATES PC",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871200",
            "telephone_number": "978-988-9255",
            "fax_number": "978-694-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SALEM ST",
            "address_2": "WOBURN MEDICAL ASSOCIATES PC",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871200",
            "telephone_number": "978-988-9255",
            "fax_number": "978-694-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOBURN MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-988-9255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9764852",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "600386",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M15271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.