Individual provider Active NPI

Yelizaveta Vaynshteyn, MD

  • Pediatrics Physician
  • Methuen, MA
National Provider Identifier
1942431317
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
241286 Issued in MA
Practice address
380R Merrimack St Ste 3B
Methuen, MA 01844-5884
Phone
(978) 687-6355
NPI assigned
Aug 4, 2009
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25003W MA
Pediatrics Physician 208000000X 241286 MA Primary

Addresses

Primary practice location

380R Merrimack St Ste 3B
Methuen, MA 01844-5884

Mailing address

380R Merrimack St Ste 3B
Methuen, MA 01844-5884
Phone (978) 687-6355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104001046 MA Practitioner - Pediatric Medicine 7012139264 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
241286MAMDPediatrics Physician
25003WMAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC CurrentSince Dec 17, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 8, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 8, 2022 Accepting new patients
Steward Holy Family Hospital, Inc. Past Accepting new patients
Pediattric Medical Care, Inc. Pediatrics Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

380R Merrimack St
Methuen, MA 01844
Phone (978) 688-1176

380R Merrimack St
Ste 3B
Methuen, MA 01844
Phone (978) 687-6355

70 East St
Methuen, MA 01844
Phone (978) 682-1906

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

Interoperability endpoints

  • Direct secure messaging: yvaynshteyn28987@tuftsmedicine.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1942431317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST STE 3B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445884",
            "telephone_number": "978-687-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST STE 3B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445884",
            "telephone_number": "978-687-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYNSHTEYN",
        "first_name": "YELIZAVETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "25003W",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "241286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.