Coastal Medical Associates
Organization Active NPI Anesthesiology Physician · Weymouth, MA
NPI 1932175684 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1932175684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- COASTAL MEDICAL ASSOCIATES
- Practice address
- 55 Fogg Rd
Weymouth, MA 02190-2432 - Phone
- (781) 340-4293
- Fax
- (781) 340-3782
- NPI assigned
- Feb 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Marianne Caputo
- Title
- Provider Enrollment Supervisor
- Phone
- (781) 792-4136
Practitioners 888
-
Michael Anthony Abreu, CRNA
-
Arielle L Adrien-Jean, M.D.
-
Solomon O Ajasin, MD
-
Aylin Akay, MD
-
Sadek Al Assadi, M.D
-
Shahid Ali, M.D.
-
Caroline S Alpert, M.D.
-
Hana Altwal, MD
-
Roberto S. Amado, MD
-
Susan Anderegg, M.D.
-
Ismadelyne Antoine, M.D.
-
Hassan Arif, MD
-
Samuel Yoffe Ash, M.D.
-
Peter Assaad, DO
-
Michelle Lydon Barry, LMHC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2215652 | Coastal Medical Associates | Certificate of waiver | Mar 4, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070221000057 | MA | Part B Supplier - Clinic/Group Practice | 7113029257 |
Receives reassigned benefits from 829 practitioners Practice locations: Weymouth, MA; Rockland, MA; Hingham, MA |
National Provider Directory
Locations
340 Wood Rd
Ste 305
Braintree, MA 02184
Phone (781) 624-3030
2 Pond Park Rd
Ste 301
Hingham, MA 02043
2 Pond Park Rd
Ste 303
Hingham, MA 02043
Phone (781) 624-2525
143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136
141 Longwater Dr
Ste 201LOFT
Norwell, MA 02061
156 Church St
Pembroke, MA 02359
Phone (781) 826-4746
300 Congress St
Ste 103
Quincy, MA 02169
Phone (617) 553-5300
399 Revolution Dr
Ste 820
Somerville, MA 02145
1221 Main St
#G
South Weymouth, MA 02190
55 Fogg Rd
#0
South Weymouth, MA 02190
55 Fogg Rd
#46
Weymouth, MA 02190
51 Performance Dr
#2
Weymouth, MA 02189
Phone (781) 682-5000
51 Performance Dr
Ste 110
Weymouth, MA 02189
Phone (781) 337-9091
55 Fogg Rd
#85
Weymouth, MA 02190
55 Fogg Rd
#99
Weymouth, MA 02190
55 Fogg Rd
#97
Weymouth, MA 02190
Phone (781) 624-8719
90 Libbey Park
Ste 100
Weymouth, MA 02189
Phone (781) 624-4950
350 E 17th St
Fl 15
New York, NY 10003
Phone (212) 420-2297
170 Carey Rd
Queensbury, NY 12804
Phone (518) 793-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Anesthesiology Physician |
207L00000X | Yes | ||
| Addiction Medicine (Internal Medicine) Physician |
207RA0401X | |||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
55 Fogg Rd
Weymouth, MA 02190-2432
Mailing address
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000
Other practice location 1
851 Main St Ste 6
Weymouth, MA 02190-1613
Phone (781) 331-0250
Other practice location 2
90 Libbey Pkwy
Weymouth, MA 02189-3129
Phone (781) 624-4950
Other practice location 3
101 Columbian St
Weymouth, MA 02190-1601
Phone (781) 624-5000
Other practice location 4
2 Pond Park Rd
Hingham, MA 02043-4347
Phone (781) 624-6200
Other practice location 5
797 Main St
Weymouth, MA 02190-1623
Phone (781) 624-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9771085 | Medicaid | MA |
Other names
- Coastal Medical Associates, Inc.
Other providers in Weymouth, MA
- David Clarke
- Keri Renee Clayton
- Clinical 1 Home Medical Corp.
- Debra Maureen Clooney
- Cara Cloutier
- Coastal Medical Associates, Inc
- Coastal Medical Associates, Inc
- Janis Coburn
- Heather Cocchi
- Joseph Coduti
All providers in Weymouth, MA · Anesthesiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.