Mark C. Nitzberg, P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

74584 Issued in MA

Legal business name

MARK C. NITZBERG, P.C.

Practice address

380 R Merrimack St.
Ste. 2C
Methuen, MA 01844

Phone

(978) 681-1977

Fax

(978) 686-8918

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark C. Nitzberg, M.D.NPI 1881652758

Title

President

Phone

(978) 681-1977

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12318/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark C. Nitzberg, M.D.

  • Gastroenterology Physician
  • Methuen, MA
  • NPI 1881652758

  NH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1992900013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 R MERRIMACK ST.",
            "address_2": "STE. 2C",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-681-1977",
            "fax_number": "978-686-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 R MERRIMACK ST.",
            "address_2": "STE. 2C",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-681-1977",
            "fax_number": "978-686-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Merrimack St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018445821",
            "country_code": "US",
            "telephone_number": "978-681-1977",
            "fax_number": "978-686-8918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK C. NITZBERG, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "NITZBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-681-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74584",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "74584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9781480",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Methuen, MA
• Providers in Methuen, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.

Verify at the official NPI Registry.