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ATLANTIC EMERGENCY ASSOCIATES PC NPI 1649215856


NPI Information

NPI: 1649215856
Provider Name: ATLANTIC EMERGENCY ASSOCIATES PC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
140 LINCOLN AVE
HAVERHILL, MA
ZIP 01830
Phone: (978) 469-5520
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ATLANTIC EMERGENCY ASSOCIATES PC is an emergency medical services emergency medicine in Haverhill, MA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. ATLANTIC EMERGENCY ASSOCIATES PC NPI is 1649215856. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 LINCOLN AVE
HAVERHILL, MA
ZIP 01830-700
Phone: (978) 469-5520
Fax: (781) 828-2471

The provider's authorized official is Stanley R Jacobs .
The authorized official title is President and has the following contact phone number (978) 469-5520.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/22/2020.


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
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19711406MEDICAIDMASSACHUSETTS
2600132OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3M12282OTHERMASSACHUSETTSBLUE CROSS & BLUE SHIELD
4601512OTHERMASSACHUSETTSHARVARD PILGRIM HEALTH

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

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