NPIMap

Organization Active NPI

Pain and Wellness Center

  • Specialist
  • Peabody, MA
National Provider Identifier
1922064112
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
71164 Issued in MA
Legal business name
PAIN AND WELLNESS CENTER
Practice address
10 Centennial Dr
East Entrance
Peabody, MA 01960-7900
Phone
(978) 826-7230
Fax
(978) 826-7238
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Dr. Julien Vaisman, MDNPI 1366489312
Title
President
Phone
(978) 826-7230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 71164 MA Primary

Addresses

Primary practice location

10 Centennial Dr
East Entrance
Peabody, MA 01960-7900

Mailing address

PO Box 145
Swampscott, MA 01907-0245
Phone (978) 826-7230

Other identifiers 3

IdentifierTypeStateIssuer
608686OtherMATUFTS HEALTH PLAN
277396OtherMAHARVARD PILGRIM
M17785OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524001257 MA Part B Supplier - Clinic/Group Practice 3779574041 Receives reassigned benefits from 18 practitioners
Practice locations: Peabody, MA

National Provider Directory

National Provider Directory
Tax ID family
Pain and Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Centennial Dr
Ste E
Peabody, MA 01960
Phone (978) 826-7230

Interoperability endpoints

  • Direct secure messaging: sammarco.jane.pwc@direct.partners.masshiway.net
  • Direct secure messaging: mastrobuoni.christina.pwc@direct.partners.masshiway.net
  • Direct secure messaging: vu.kevin.pwc@direct.partners.masshiway.net
  • Direct secure messaging: vaisman.julien.pwc@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1922064112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019070245",
            "telephone_number": "978-826-7230",
            "fax_number": "978-826-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTENNIAL DR",
            "address_2": "EAST ENTRANCE",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607900",
            "telephone_number": "978-826-7230",
            "fax_number": "978-826-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "VAISMAN",
        "authorized_official_first_name": "JULIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-826-7230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "71164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "608686",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "277396",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17785",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.