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NORTHEAST MEDICAL GROUP INC. NPI 1104575166


NPI Information

NPI: 1104575166
Provider Name: NORTHEAST MEDICAL GROUP, INC.
Classification: Registered Nurse - 163WP0809X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Adult

Address:
275 VARNUM AVE STE 108
LOWELL, MA
ZIP 01854
Phone: (978) 710-4242
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NORTHEAST MEDICAL GROUP, INC. is a psychiatric/mental health and adult registered nurse in Lowell, MA. NORTHEAST MEDICAL GROUP, INC. NPI is 1104575166. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

275 VARNUM AVE STE 108
LOWELL, MA
ZIP 01854-117
Phone: (978) 710-4242
Fax: (978) 710-4202

The provider's authorized official is Sachin B Patel .
The authorized official title is President and has the following contact phone number (978) 710-4242.

The enumeration date for this NPI number is 3/18/2022 and was last updated on 3/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
2364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultNo
3101YM0800XCounselorMental HealthNo
4163WP0809XRegistered NursePsychiatric/Mental Health, AdultYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.