JOSEPH P. RAFFERTY MD NPI 1669459723

NPI Information

NPI: 1669459723
Provider Name: JOSEPH P. RAFFERTY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
GE MEDICAL CENTER BUILDING 44
1000 WESTERN AVENUE
LYNN, MA
ZIP 01910
Phone: (781) 585-7412
Get Directions

Joseph P. Rafferty, MD is a family medicine in Lynn, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Joseph P. Rafferty, MD NPI is 1669459723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

GE MEDICAL CENTER BUILDING 44
1000 WESTERN AVENUE
LYNN, MA
ZIP 01910
Phone: (781) 585-7412
Fax: (781) 585-7412

The NPI 1669459723 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/19/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		75115	MASSACHUSETTS	No
2	207Q00000X	Family Medicine		75115	MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	713754	OTHER	MASSACHUSETTS	HARVARD PILGRIM
2	J11997	MEDICARE PIN	MASSACHUSETTS
3	075115	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
4	J11997	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
5	E15679	MEDICARE UPIN	MASSACHUSETTS
6	3087735	MEDICAID	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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