Richard a Marasa MD PC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

RICHARD A MARASA MD PC

Practice address

100 Cummings Ctr Ste 428C
Beverly, MA 01915-6122

Phone

(800) 270-2302

Fax

(978) 852-7099

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Richard A Marasa, MD

Title

Owner

Phone

(802) 356-0255

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1962090001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "05156",
            "telephone_number": "802-356-0255",
            "fax_number": "804-612-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 428C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156122",
            "telephone_number": "800-270-2302",
            "fax_number": "978-852-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1D Commons Drive",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "035036122",
            "country_code": "US",
            "telephone_number": "603-212-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD A MARASA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "MARASA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-356-0255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "15037",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "282042",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079550",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.baystaterecoverycenter.com",
            "affiliation": "Y",
            "affiliationName": "BAYSTATE RECOVERY CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Cummings Ctr Ste 428C",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019156122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Rennebohm
• Bradymae Ressel, RN
• Garth Raymond Retallack
• Katelyn Revell
• Yajeisi Reyes-Alberto
• Elizabeth Sorenson Richard, RD, LDN
• Charles William Richardson II, LPTA
• Jessica Richardson
• Laura Jean Richio, MD
• Teresa Marie Ricker, LSW

• Addiction Medicine (Internal Medicine) Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Addiction Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.