| Dr Jasper Imboemboe Ngomba, MD | |
|
380 Elm St Ste 1, North Attleboro, MA 02760-3314 | |
| (774) 643-6261 | |
| Not Available |
| Full Name | Dr Jasper Imboemboe Ngomba |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 380 Elm St Ste 1, North Attleboro, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760620975 | NPI | - | NPPES |
| 110093437A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 245843 (Massachusetts) | Secondary |
| 208M00000X | Hospitalist | MD13372 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merrimack Valley Hospice, Inc | Lawrence, MA | Hospice |
| Lowell General Hospital | Lowell, MA | Hospital |
| Southcoast Hospitals Group | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southcoast Physicians Group Inc | 0749171957 | 789 |
| Lowell General Inpatient Specialists Pllc | 8729371380 | 62 |
| Entity Name | Henry Heywood Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Entity Name | Athol Memorial Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228 |
| Entity Name | Coastal Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | Lowell General Inpatient Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649626391 PECOS PAC ID: 8729371380 Enrollment ID: O20160720001673 |
| Entity Name | Sound Physicians Of Massachusetts Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306376397 PECOS PAC ID: 9436421567 Enrollment ID: O20170823003703 |
| Entity Name | Vantage Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366903551 PECOS PAC ID: 8224361191 Enrollment ID: O20190607000976 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jasper Imboemboe Ngomba, MD 380 Elm St Ste 1, North Attleboro, MA 02760-3314 Ph: (774) 643-6261 | Dr Jasper Imboemboe Ngomba, MD 380 Elm St Ste 1, North Attleboro, MA 02760-3314 Ph: (774) 643-6261 |