Youville Hospital and Rehabilitation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

YOUVILLE HOSPITAL AND REHABILITATION

Practice address

100 Brickstone SQ
Andover, MA 01810-1438

Phone

(617) 876-4344

Fax

(617) 234-7900

NPI assigned

Mar 26, 2007

Last updated

Apr 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Keller

Title

Vice Preasident of Finance Cfo

Phone

(617) 876-4344

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1902924384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384308",
            "telephone_number": "617-876-4344",
            "fax_number": "617-234-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICKSTONE SQ",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101438",
            "telephone_number": "617-876-4344",
            "fax_number": "617-234-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUVILLE HOSPITAL AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PREASIDENT OF FINANCE CFO",
        "authorized_official_telephone_number": "617-876-4344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS CLINIC PHYSICIANS",
            "identifier": "699902",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HOSPITAL PHYSICIAN",
            "identifier": "903902",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Grace Yanulis, FNP-BC
• Joe Yarid, LICSW
• Monica Dajung Yim
• Eric D Young, PT
• Michelle Young, N.P.
• Luis Manuel Zamorano Henche
• Stephen Michael Zappala, M.D.
• Yiling Zhang, PHD
• Ying Zhang
• Arielle Rachel Zhitomirsky, PT, DPT

• Internal Medicine Physician in Andover, MA
• Providers in Andover, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.