Active NPI
John R Niceforo, M.D.
- Internal Medicine Physician
- Haverhill, MA
National Provider Identifier
1982726055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27160
- Practice address
- 1 Parkway
Haverhill, MA 01830-6278 - Phone
- (978) 521-3250
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27160 | MA | Primary |
Addresses
Primary practice location
1 Parkway
Haverhill, MA 01830-6278
Mailing address
1 Parkway
Haverhill, MA 01830-6278
Phone (978) 521-3250
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110036158A | Medicaid | MA | |
| 1982726055 | Other | MA | EVERCARE |
| 1982726055 | Other | MA | ANTHEM |
| AA148082 | Other | HARVARD PILGRIM HEALTHCARE | |
| 1982726055 | Other | MA | AETNA |
| 1982726055 | Other | MA | BCBS |
| 30200155 | Medicaid | NH | |
| 710420 | Other | MA | TUFTS |
| 1982726055 | Other | MA | FALLON COMMUNITY HEALTH PLAN |
| 6130738 | Other | MA | CIGNA |
| 0046247 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 4346215 | Other | MA | AETNA NON HMO |
| 94634001 | Other | MA | NETWORK HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1982726055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARKWAY",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306278",
"telephone_number": "978-521-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARKWAY",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306278",
"telephone_number": "978-521-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICEFORO",
"first_name": "JOHN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "27160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110036158A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "1982726055",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1982726055",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCARE",
"identifier": "AA148082",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1982726055",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1982726055",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30200155",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "710420",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH PLAN",
"identifier": "1982726055",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6130738",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0046247",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "4346215",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "94634001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.