JUSTIN MAH NPI 1972212769

NPI Information

NPI: 1972212769
Provider Name: JUSTIN MAH
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
292 DEN QUARRY RD
LYNN, MA
ZIP 01904
Phone: (781) 484-6582
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Justin Mah is an acute care nurse practitioner in Lynn, MA. Justin Mah NPI is 1972212769. 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:

292 DEN QUARRY RD
LYNN, MA
ZIP 01904-323
Phone: (781) 484-6582

The NPI 1972212769 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 11/21/2022 and was last updated on 6/17/2023.

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	363LA2100X	Nurse Practitioner	Acute Care	RN2324372	MASSACHUSETTS	Yes
2	163WE0003X	Registered Nurse	Emergency	RN2324372	MASSACHUSETTS	No

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: 5/5/2024

NPI Synchronization or Removal

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