NORTH SHORE WOMEN'S CENTER
NPI 1063629319
Clinic/Center - Medical Specialty in Lynn, MA

NPI Status: Active since May 17, 2007

Contact Information

480 LYNNFIELD ST
LYNN, MA
ZIP 01904
Phone: (781) 595-4800
Fax: (781) 595-3843

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  • Organization
  • Clinic/Center
  • Medical Specialty

About NORTH SHORE WOMEN'S CENTER

This page provides the complete NPI Profile along with additional information for North Shore Women's Center, a provider established in Lynn, Massachusetts operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1063629319 assigned on May 2007. The practitioner's primary taxonomy code is 261QM2500X with license number 82013 (MA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Marcus Tulio Gordon Md (Physician)

NPI
1063629319
Provider Name
NORTH SHORE WOMEN'S CENTER
Entity Type
Organization
Location Address
480 LYNNFIELD ST LYNN, MA 01904
Location Phone
(781) 595-4800
Location Fax
(781) 595-3843
Mailing Address
480 LYNNFIELD ST LYNN, MA 01904
Mailing Phone
(781) 595-4800
Mailing Fax
(781) 595-3843
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
82013
License State
MA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARCUS TULIO GORDON MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(781) 595-4800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9783237MEDICAID (05)MA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063629319
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231221832
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 2 + 1 + 8 + 3 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1063629319 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023037660 MICHAEL GOLDSTEIN MD
Individual
Internal Medicine (Cardiovascular Disease)480 LYNNFIELD ST
LYNN, MA 01904
(781) 595-1564
1710906359 LAWRENCE S BLOCK MD
Individual
Internal Medicine (Cardiovascular Disease)480 LYNNFIELD ST
LYNN, MA 01904
(781) 595-1564
1215045786 ROBERT E SLOANE M.D.
Individual
Surgery480 LYNNFIELD ST EAST.MED.BLDG
LYNN, MA 01904
(781) 581-3280
1285764977NORTH SHORE GENERAL AND VASCULAR ASSOCIATES P.C.
Organization
Clinic/Center (Ambulatory Surgical)480 LYNNFIELD ST EAST MEDICAL BUILDING
LYNN, MA 01904
(781) 581-3280
1265678536 CHRISTIE LYN JURENA MPH, RN, MS, WHNP-BC
Individual
Nurse Practitioner (Obstetrics & Gynecology)480 LYNNFIELD ST
LYNN, MA 01904
(781) 595-4800
1043945678MISS SARAH ELISABETH ZIOBRO FNP
Individual
Nurse Practitioner (Family)480 LYNNFIELD ST
LYNN, MA 01904
(781) 593-3400
1891256194DR. DERIN DENIZ ALLARD DO
Individual
Family Medicine480 LYNNFIELD ST
LYNN, MA 01904
(781) 593-3400
1750001673 KATHLEEN COMEAU NP
Individual
Nurse Practitioner (Family)480 LYNNFIELD ST
LYNN, MA 01904
(978) 354-3943
1073235537 MELISSA NEE NP
Individual
Nurse Practitioner480 LYNNFIELD ST
LYNN, MA 01904
(781) 593-3400
1265979025MRS. SEUNGEUN LEE LMHC
Individual
Counselor (Mental Health)480 LYNNFIELD ST
LYNN, MA 01904
(781) 477-3950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063629319, enumerated in the NPI registry as an "organization" on May 17, 2007

The provider is located at 480 Lynnfield St Lynn, Ma 01904 and the phone number is (781) 595-4800

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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