Organization Active NPI

Richard a Marasa MD PC

  • Addiction Medicine (Internal Medicine) Physician
  • Beverly, MA
National Provider Identifier
1962090001
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Richard A Marasa, MDNPI 1174518708
Title
Owner
Phone
(802) 356-0255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 855
Springfield, VT 05156
Phone (802) 356-0255

Other practice location 1

1D Commons Drive
Londonderry, NH 03503-6122
Phone (603) 212-1700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.baystaterecoverycenter.com Direct BAYSTATE RECOVERY CENTER

National Provider Directory

National Provider Directory

Locations

100 Cummings Ctr
Ste 428C
Beverly, MA 01915
Phone (800) 270-2302

1D Commons Dr
Londonderry, NH 03053
Phone (603) 212-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "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": []
}

Other providers in Beverly, MA

Sources for this page

  • 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.