Active NPI
Orthopaedics Northeast, LLC
- Orthopaedic Surgery Physician
- North Andover, MA
National Provider Identifier
1962884866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPAEDICS NORTHEAST, LLC
- Practice address
- 575 Turnpike St
Suite 11
North Andover, MA 01845-5924 - Phone
- (978) 794-1946
- Fax
- (978) 975-3925
- NPI assigned
- Jun 26, 2015
- Organization subpart
- Yes
- Parent organization
- ORTHOPAEDICS NORTHEAST, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill L Leahy
- Title
- Practice Manager
- Phone
- (978) 327-6561
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
575 Turnpike St
Suite 11
North Andover, MA 01845-5924
Mailing address
575 Turnpike St
Suite 11
North Andover, MA 01845-5924
Phone (978) 794-1946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190201001072 | MA | Part B Supplier - Clinic/Group Practice | 7315284106 |
Receives reassigned benefits from 20 practitioners Practice locations: Andover, MA; Haverhill, MA |
National Provider Directory
National Provider Directory- Part of
- Orthopaedics Northeast PC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435276800000",
"number": "1962884866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 TURNPIKE ST",
"address_2": "SUITE 11",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455924",
"telephone_number": "978-794-1946",
"fax_number": "978-975-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 TURNPIKE ST",
"address_2": "SUITE 11",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455924",
"telephone_number": "978-794-1946",
"fax_number": "978-975-3925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDICS NORTHEAST, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOPAEDICS NORTHEAST, P.C.",
"enumeration_date": "2015-06-26",
"last_updated": "2015-06-26",
"status": "A",
"authorized_official_last_name": "LEAHY",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "978-327-6561"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
- Eric Omari, PMHNP-BC
- On-Site Medical Services LLC
- Oped Medical, Inc.
- Jacqueline Terese Oram, PT, DPT, ACSM EP-C
- Orthopaedic and Sports Medicine Specialists, Inc.
- Orthopaedics Northeast, P.C.
- Osgood Cosmetic and Family Dentistry
- Osler Medical Group LLC
- Irina Ostrovskaya, M.S., CCC-SLP
- Overlook Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.