| Topaz Medical Of New York Pc | |
|
1 Washington Mall # 1341 Boston MA 02108-2616 | |
| (970) 618-4426 | |
| Not Available |
| Full Name | Topaz Medical Of New York Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Washington Mall # 1341, Boston, Massachusetts |
| Authorized Official Name and Position | Saba Haq (PRESIDENT) |
| Authorized Official Contact | 9494630650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Topaz Medical Of New York Pc 1 Washington Mall # 1341 Boston MA 02108-2616 Ph: (970) 618-4426 | Topaz Medical Of New York Pc 1 Washington Mall # 1341 Boston MA 02108-2616 Ph: (970) 618-4426 |
| NPI Number | 1487480810 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 03/07/2026 |
| Certification Date | 03/07/2026 |
| Medicare PECOS PAC ID | 7113455536 |
|---|---|
| Medicare Enrollment ID | O20250114000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487480810 | NPI | - | NPPES |
| Provider Name | Kim Schepart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245487057 PECOS PAC ID: 3779801535 Enrollment ID: I20150408000762 |
| Provider Name | Margaret Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801318449 PECOS PAC ID: 6305197013 Enrollment ID: I20180919002495 |
| Provider Name | Saba Haq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669460085 PECOS PAC ID: 4688684913 Enrollment ID: I20250115001224 |
| Provider Name | Amy Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437482718 PECOS PAC ID: 8123165800 Enrollment ID: I20250307003180 |
| Provider Name | Delphine Fru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285301259 PECOS PAC ID: 7911304332 Enrollment ID: I20250326002753 |
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