| Mit Medical | |
|
25 Carleton St Cambridge MA 02142-1323 | |
| (617) 253-4481 | |
| (617) 253-6558 |
| Full Name | Mit Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Carleton St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Brian Schuetz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6172586609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mit Medical 77 Massachusetts Ave # E23-431 Cambridge MA 02139-4301 Ph: (617) 258-6609 | Mit Medical 25 Carleton St Cambridge MA 02142-1323 Ph: (617) 253-4481 |
| NPI Number | 1346308723 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 11/17/2023 |
| Medicare PECOS PAC ID | 5597658666 |
|---|---|
| Medicare Enrollment ID | O20040203000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346308723 | NPI | - | NPPES |
| M16471 | Other | MA | BCBS |
| Y61353 | Other | MA | BCBS PHYSICAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Richard S Goldenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881646123 PECOS PAC ID: 5294631024 Enrollment ID: I20031211000256 |
| Provider Name | Jeffrey Roach |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861425811 PECOS PAC ID: 9436044625 Enrollment ID: I20040217000647 |
| Provider Name | Robert B Gross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245204403 PECOS PAC ID: 7517855943 Enrollment ID: I20040308001017 |
| Provider Name | Patti A Landry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689647232 PECOS PAC ID: 1254229693 Enrollment ID: I20040308001078 |
| Provider Name | Karen Spitler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225001209 PECOS PAC ID: 6406840644 Enrollment ID: I20040412000954 |
| Provider Name | Annie Liau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366423717 PECOS PAC ID: 4981698800 Enrollment ID: I20040413001354 |
| Provider Name | Shawn Ferullo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962476994 PECOS PAC ID: 8123016953 Enrollment ID: I20040503000217 |
| Provider Name | Chana Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336112291 PECOS PAC ID: 1759365661 Enrollment ID: I20040617000582 |
| Provider Name | Howard M Heller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508856287 PECOS PAC ID: 7618952771 Enrollment ID: I20040622001294 |
| Provider Name | Edwin C Huang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457334963 PECOS PAC ID: 4688652035 Enrollment ID: I20040712000718 |
| Provider Name | George Cushing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952382475 PECOS PAC ID: 4981684636 Enrollment ID: I20040722000966 |
| Provider Name | Alejandro M Heffess |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710059480 PECOS PAC ID: 3971573726 Enrollment ID: I20040728001507 |
| Provider Name | Anthony J Schena |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952398174 PECOS PAC ID: 3779556154 Enrollment ID: I20040813001099 |
| Provider Name | Austin P Egan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689651267 PECOS PAC ID: 5698748028 Enrollment ID: I20040814000240 |
| Provider Name | Anna Jasonides |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174598957 PECOS PAC ID: 2668446493 Enrollment ID: I20040825001507 |
| Provider Name | Thomas F Burke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427047224 PECOS PAC ID: 1355316399 Enrollment ID: I20040901000711 |
| Provider Name | David V Diamond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265411664 PECOS PAC ID: 1355316308 Enrollment ID: I20040901000803 |
| Provider Name | James C Ku |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730188038 PECOS PAC ID: 9739154600 Enrollment ID: I20040902000108 |
| Provider Name | George Reservitz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225037518 PECOS PAC ID: 5698740579 Enrollment ID: I20040902000153 |
| Provider Name | Michael J Shortsleeve |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366499055 PECOS PAC ID: 5193790087 Enrollment ID: I20040902000298 |
| Provider Name | Julio C Ayala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104883347 PECOS PAC ID: 4789650185 Enrollment ID: I20040908000108 |
| Provider Name | Richard Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659344646 PECOS PAC ID: 1759350283 Enrollment ID: I20040930000626 |
| Provider Name | Noemi Pedraza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902887177 PECOS PAC ID: 3870562291 Enrollment ID: I20041001000025 |
| Provider Name | Maryellen B Buckley Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912129917 PECOS PAC ID: 8325008634 Enrollment ID: I20041012000798 |
| Provider Name | Philip A Rogoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154493914 PECOS PAC ID: 4385613439 Enrollment ID: I20041110000565 |
| Provider Name | Hyewon Hyun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063587889 PECOS PAC ID: 5395714448 Enrollment ID: I20041110000702 |
| Provider Name | Siew K Teoh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740270057 PECOS PAC ID: 6507835642 Enrollment ID: I20041112000516 |
| Provider Name | Jacques P Sasson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750326732 PECOS PAC ID: 2961471016 Enrollment ID: I20041112000909 |
| Provider Name | Edward B Marianacci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053483982 PECOS PAC ID: 9032188180 Enrollment ID: I20041112000917 |
| Provider Name | Ralph L Reichle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124190905 PECOS PAC ID: 9234108374 Enrollment ID: I20041112001007 |
| Provider Name | Audrey D Duva Frissora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255384921 PECOS PAC ID: 1052375284 Enrollment ID: I20041117000098 |
| Provider Name | Brian D. Marriott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770577926 PECOS PAC ID: 8729046255 Enrollment ID: I20041229000874 |
| Provider Name | Lawrence J Mambrino |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508845017 PECOS PAC ID: 3476511700 Enrollment ID: I20050103000525 |
| Provider Name | Jocelyn O Joseph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316934581 PECOS PAC ID: 5799743027 Enrollment ID: I20050103000578 |
| Provider Name | Melanie J Brunt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295873073 PECOS PAC ID: 1557318672 Enrollment ID: I20050331001039 |
| Provider Name | Roderick H Crocker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053310367 PECOS PAC ID: 4981651668 Enrollment ID: I20050405000631 |
| Provider Name | Richard C Gardner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851381420 PECOS PAC ID: 4688614308 Enrollment ID: I20050511000891 |
| Provider Name | Jody K Judge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366547218 PECOS PAC ID: 6103869839 Enrollment ID: I20050603000675 |
| Provider Name | Colleen M Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336123330 PECOS PAC ID: 6305880055 Enrollment ID: I20050614000964 |
| Provider Name | Frank G Berson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821188855 PECOS PAC ID: 3779528989 Enrollment ID: I20050628000029 |
| Provider Name | William C Denison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124006911 PECOS PAC ID: 4688602279 Enrollment ID: I20050804000039 |
| Provider Name | Torre Morgan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851382360 PECOS PAC ID: 5193754364 Enrollment ID: I20050808000843 |
| Provider Name | Kamau Karanja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720147895 PECOS PAC ID: 7810928819 Enrollment ID: I20050830000416 |
| Provider Name | Donald F Romanelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033105754 PECOS PAC ID: 9537190483 Enrollment ID: I20050830000811 |
| Provider Name | Anne Kofke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396961934 PECOS PAC ID: 4789617655 Enrollment ID: I20050913000218 |
| Provider Name | Michael A Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376524769 PECOS PAC ID: 8921031113 Enrollment ID: I20050917000262 |
| Provider Name | Angela G Fowler Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225130644 PECOS PAC ID: 5496780074 Enrollment ID: I20051003000367 |
| Provider Name | Mary C Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801956925 PECOS PAC ID: 5698790384 Enrollment ID: I20051012000072 |
| Provider Name | Lior Givon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326103987 PECOS PAC ID: 5890789739 Enrollment ID: I20051017000675 |
| Provider Name | James J Rifino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679530182 PECOS PAC ID: 3678591799 Enrollment ID: I20051108000196 |
| Provider Name | Ingrid Y Henar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407820046 PECOS PAC ID: 1850315755 Enrollment ID: I20060118000827 |
| Provider Name | Jacquelin Sherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225001480 PECOS PAC ID: 1153335526 Enrollment ID: I20060206000786 |
| Provider Name | Janis L Puibello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396717161 PECOS PAC ID: 3375558620 Enrollment ID: I20060208000418 |
| Provider Name | Jeremy D Schiller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811934003 PECOS PAC ID: 0345252516 Enrollment ID: I20060707000262 |
| Provider Name | Hong Chen Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013978113 PECOS PAC ID: 8224040407 Enrollment ID: I20060707000295 |
| Provider Name | Katherine J Hanaway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457375727 PECOS PAC ID: 1850396771 Enrollment ID: I20060928000263 |
| Provider Name | Rebeca M Plank |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598738973 PECOS PAC ID: 9931108438 Enrollment ID: I20061211000447 |
| Provider Name | Nadia Ounis-skali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245251503 PECOS PAC ID: 0244231892 Enrollment ID: I20070124000509 |
| Provider Name | James C. Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114983533 PECOS PAC ID: 9739284209 Enrollment ID: I20070412000373 |
| Provider Name | Stephanie L Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487693487 PECOS PAC ID: 9830296912 Enrollment ID: I20070524000377 |
| Provider Name | Michele Cassin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134164288 PECOS PAC ID: 6800995010 Enrollment ID: I20070628000014 |
| Provider Name | Jessica H Ochs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932391182 PECOS PAC ID: 4284722364 Enrollment ID: I20071127000293 |
| Provider Name | David I Hong |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316079908 PECOS PAC ID: 2365513744 Enrollment ID: I20080612000071 |
| Provider Name | James N Rosenquist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346376712 PECOS PAC ID: 4587735840 Enrollment ID: I20080616000068 |
| Provider Name | Edward Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689846578 PECOS PAC ID: 6002989480 Enrollment ID: I20080717000502 |
| Provider Name | Maryellen Ruth Sun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861661092 PECOS PAC ID: 4082789011 Enrollment ID: I20080826000376 |
| Provider Name | Julia N Dickinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790933810 PECOS PAC ID: 6103985528 Enrollment ID: I20081030000081 |
| Provider Name | Yan Ni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477619989 PECOS PAC ID: 2961563515 Enrollment ID: I20081202000238 |
| Provider Name | Sheila M Swales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770746836 PECOS PAC ID: 3678634730 Enrollment ID: I20081208000257 |
| Provider Name | Jennifer J Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245448166 PECOS PAC ID: 3870658586 Enrollment ID: I20090212000530 |
| Provider Name | Marie Caggiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154416386 PECOS PAC ID: 4082763297 Enrollment ID: I20090519000144 |
| Provider Name | Luanne M Off |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063484194 PECOS PAC ID: 4284787573 Enrollment ID: I20090804000565 |
| Provider Name | Iris Foley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104945690 PECOS PAC ID: 4284708694 Enrollment ID: I20090901000019 |
| Provider Name | Cynthia L Sershen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366614497 PECOS PAC ID: 7113064437 Enrollment ID: I20091019000606 |
| Provider Name | Papa K Badoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659359487 PECOS PAC ID: 5597741363 Enrollment ID: I20091111000066 |
| Provider Name | Vicki Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942276266 PECOS PAC ID: 8527106335 Enrollment ID: I20091117000066 |
| Provider Name | Janet Lorang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720319577 PECOS PAC ID: 1951445485 Enrollment ID: I20100222000091 |
| Provider Name | Margaret S Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518120674 PECOS PAC ID: 8628113032 Enrollment ID: I20100309000499 |
| Provider Name | Jessica Senesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689812372 PECOS PAC ID: 6709918378 Enrollment ID: I20100716000494 |
| Provider Name | Leila Khorashadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871781716 PECOS PAC ID: 2466505102 Enrollment ID: I20100720000588 |
| Provider Name | Deborah R Sigman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760455844 PECOS PAC ID: 5395861405 Enrollment ID: I20100927000651 |
| Provider Name | Marianne Matz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588796056 PECOS PAC ID: 2567655210 Enrollment ID: I20101026000774 |
| Provider Name | Jennifer Nohrden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528266988 PECOS PAC ID: 1759579121 Enrollment ID: I20101229000573 |
| Provider Name | Emily M Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174597959 PECOS PAC ID: 1850580218 Enrollment ID: I20110115000082 |
| Provider Name | Kathryn E Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205028099 PECOS PAC ID: 4486837549 Enrollment ID: I20110328000150 |
| Provider Name | Tanya G Weinstock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417114182 PECOS PAC ID: 0840464608 Enrollment ID: I20111114000610 |
| Provider Name | Michele David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568448488 PECOS PAC ID: 5597928275 Enrollment ID: I20120516000197 |
| Provider Name | Christina Lam |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194003731 PECOS PAC ID: 8820245343 Enrollment ID: I20120905000517 |
| Provider Name | Vera Marie Sichko-seltzer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265441141 PECOS PAC ID: 2961498241 Enrollment ID: I20121018000013 |
| Provider Name | Jennifer L Shark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205004793 PECOS PAC ID: 2860562543 Enrollment ID: I20121026000254 |
| Provider Name | Amy Lynn Zisa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285876532 PECOS PAC ID: 2567614522 Enrollment ID: I20121220000422 |
| Provider Name | Lora G Bankova |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1962527580 PECOS PAC ID: 4183879752 Enrollment ID: I20130305000325 |
| Provider Name | Maureen D. Dobrowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427309905 PECOS PAC ID: 4880849264 Enrollment ID: I20130311000325 |
| Provider Name | Amanda W Abbott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821358284 PECOS PAC ID: 4587809744 Enrollment ID: I20130319000068 |
| Provider Name | Rozanne M Puleo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811275167 PECOS PAC ID: 1254582547 Enrollment ID: I20130327000496 |
| Provider Name | Amandeep Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386879401 PECOS PAC ID: 1658524764 Enrollment ID: I20131210000958 |
| Provider Name | Allison Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548675523 PECOS PAC ID: 1254655574 Enrollment ID: I20150115000509 |
| Provider Name | Maureen Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699104828 PECOS PAC ID: 9133446735 Enrollment ID: I20150319000631 |
| Provider Name | Sanjat Kanjilal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023335528 PECOS PAC ID: 2961620315 Enrollment ID: I20151211001614 |
| Provider Name | Pooja R Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043570336 PECOS PAC ID: 1052543964 Enrollment ID: I20151223000529 |
| Provider Name | Cecilia W Stuopis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619982493 PECOS PAC ID: 4688698244 Enrollment ID: I20160505001635 |
| Provider Name | Jennifer Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376771758 PECOS PAC ID: 9032363155 Enrollment ID: I20160518000470 |
| Provider Name | Caitlin M Connolly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932494804 PECOS PAC ID: 9931490208 Enrollment ID: I20160616000267 |
| Provider Name | Amelia Leutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336597251 PECOS PAC ID: 6901192202 Enrollment ID: I20160913002290 |
| Provider Name | Pui Cheung |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699092213 PECOS PAC ID: 5294979126 Enrollment ID: I20161024000015 |
| Provider Name | Xiao Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801181854 PECOS PAC ID: 1557589025 Enrollment ID: I20170109001919 |
| Provider Name | Jessica S Tangren |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689968810 PECOS PAC ID: 4183864218 Enrollment ID: I20170306002118 |
| Provider Name | Rachael Phelan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619360369 PECOS PAC ID: 7416232962 Enrollment ID: I20170323001196 |
| Provider Name | Hannah M Haigler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407290414 PECOS PAC ID: 8527280429 Enrollment ID: I20170530000144 |
| Provider Name | Theodor Charles Sauer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679916639 PECOS PAC ID: 3476821851 Enrollment ID: I20170608001750 |
| Provider Name | Juan Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158382 PECOS PAC ID: 4880811132 Enrollment ID: I20170713000904 |
| Provider Name | Li Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780005504 PECOS PAC ID: 5294005278 Enrollment ID: I20170725000138 |
| Provider Name | Edward Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255309571 PECOS PAC ID: 0840564852 Enrollment ID: I20170914001430 |
| Provider Name | Susanne Zimmermann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982623278 PECOS PAC ID: 3678539186 Enrollment ID: I20180214000729 |
| Provider Name | Solmaz Amirnazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164656401 PECOS PAC ID: 5698938827 Enrollment ID: I20180223002264 |
| Provider Name | David Pinkney Rainey |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1477931996 PECOS PAC ID: 2567711930 Enrollment ID: I20180817001029 |
| Provider Name | Angelene Elliott |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700299252 PECOS PAC ID: 8628296050 Enrollment ID: I20180822000870 |
| Provider Name | Sophie M. Monnier-serov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912392895 PECOS PAC ID: 3274842604 Enrollment ID: I20181024000683 |
| Provider Name | Lauren Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760909105 PECOS PAC ID: 8729322201 Enrollment ID: I20181211000976 |
| Provider Name | Elizabeth A. Phipps |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851777874 PECOS PAC ID: 1850644675 Enrollment ID: I20181224000453 |
| Provider Name | Jennifer R Nelson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245708973 PECOS PAC ID: 0143568840 Enrollment ID: I20190205000348 |
| Provider Name | Israel Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639525520 PECOS PAC ID: 1254662653 Enrollment ID: I20191016002946 |
| Provider Name | Edward N Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124672118 PECOS PAC ID: 7517392764 Enrollment ID: I20200115002180 |
| Provider Name | Vini Anand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689028102 PECOS PAC ID: 7315237294 Enrollment ID: I20200115002686 |
| Provider Name | Melissa A Mackel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437410198 PECOS PAC ID: 0143458125 Enrollment ID: I20200120000300 |
| Provider Name | Dinah Foer |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1144634890 PECOS PAC ID: 7113145848 Enrollment ID: I20200320002657 |
| Provider Name | Lily Li |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1487072104 PECOS PAC ID: 0042582702 Enrollment ID: I20200331000816 |
| Provider Name | Monica J Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962884940 PECOS PAC ID: 0749576957 Enrollment ID: I20200811003147 |
| Provider Name | Elaine M. Rancatore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699744334 PECOS PAC ID: 1557494556 Enrollment ID: I20201215001991 |
| Provider Name | Audrey Novchich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801105473 PECOS PAC ID: 5597959494 Enrollment ID: I20201219000113 |
| Provider Name | Francine Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477981983 PECOS PAC ID: 7618275157 Enrollment ID: I20210122000364 |
| Provider Name | Chukwueloka Obionwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679929715 PECOS PAC ID: 0547551434 Enrollment ID: I20210211001093 |
| Provider Name | Danielle Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841737855 PECOS PAC ID: 7113335811 Enrollment ID: I20210419001041 |
| Provider Name | Yih-chieh Spring Chen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1841671252 PECOS PAC ID: 5698083632 Enrollment ID: I20210614000227 |
| Provider Name | Monisha Rajinikanth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710407325 PECOS PAC ID: 5698048270 Enrollment ID: I20210727003793 |
| Provider Name | Gregory M Orlowski |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336675651 PECOS PAC ID: 9133493513 Enrollment ID: I20210818002416 |
| Provider Name | Jyotsna Mullur |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1861842023 PECOS PAC ID: 5597154153 Enrollment ID: I20211119002069 |
| Provider Name | Neil T Jenkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598080814 PECOS PAC ID: 5890188957 Enrollment ID: I20220214000403 |
| Provider Name | Gabriella J Melson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760844971 PECOS PAC ID: 5698068963 Enrollment ID: I20220517000091 |
| Provider Name | Geneva D Mehta |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1801326293 PECOS PAC ID: 1759652308 Enrollment ID: I20220601002044 |
Premise Health Of Massachusetts, Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Main St, 5th Floor, Cambridge, MA 02139 Phone: 617-453-3005 Fax: 617-649-8535 | |
Premise Health Of Massachusetts Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 2nd St, Cambridge, MA 02141 Phone: 617-245-3278 Fax: 617-649-3844 | |
Mount Auburn Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Mount Auburn St, Cambridge, MA 02138 Phone: 617-492-3500 | |
Cambridge Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Mount Auburn Gastroenterology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Mount Auburn St, Suite 404, Cambridge, MA 02138 Phone: 617-876-4733 Fax: 617-876-5017 | |
Youville Hospital And Rehabilitation Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 Cambridge St, Cambridge, MA 02138 Phone: 617-876-4344 Fax: 617-234-7913 | |
Cambridge Family Health North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2067 Massachusetts Ave, Cambridge, MA 02140 Phone: 617-575-5570 |