STONY BROOK PRIMARY CARE LLC
NPI 1790945160
Internal Medicine in North Chelmsford, MA
NPI Status: Active since June 10, 2008
Contact Information
20 RESEARCH PL
SUITE 100
NORTH CHELMSFORD, MA
ZIP 01863
Phone: (978) 446-9850
Fax: (855) 283-4714
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 22D1098600
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-22-2027
About STONY BROOK PRIMARY CARE LLC
This page provides the complete NPI Profile along with additional information for Stony Brook Primary Care Llc, an internist established in North Chelmsford, Massachusetts operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1790945160 assigned on June 2008. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jessica Wieselquist Md (Owner/provider)
- NPI
- 1790945160
- Provider Name
- STONY BROOK PRIMARY CARE LLC
- Entity Type
- Organization
- Location Address
- 20 RESEARCH PL SUITE 100 NORTH CHELMSFORD, MA 01863
- Location Phone
- (978) 446-9850
- Location Fax
- (855) 283-4714
- Mailing Address
- 20 RESEARCH PL SUITE 100 NORTH CHELMSFORD, MA 01863
- Mailing Phone
- (978) 446-9850
- Mailing Fax
- (855) 283-4714
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-10-2008
- Last Update Date
- 07-31-2017
- Code Navigator
An internist like Stony Brook Primary Care Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D1098600
- Facility Type
- Physician Office
- Certificate Effective Date
- April 23, 2025
- Certificate Expiration Date
- April 22, 2027
- Laboratory Director
- JESSICA WIESELQUIST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Stony Brook Primary Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 7 | 9 | 0 | 9 | 4 | 5 | 1 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 18 | 4 | 10 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 8 + 4 + 1 + 0 + 1 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790945160 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942285929 | LOWELL SURGICAL ASSOCIATES, P.C. Organization | Surgery | 20 RESEARCH PL SUITE 100 NORTH CHELMSFORD, MA 01863 (978) 452-5050 |
| 1710919238 | PHILIP J TAVANO M.D. Individual | Internal Medicine | 20 RESEARCH PL SUITE 310 N CHELMSFORD, MA 01863 (978) 459-2152 |
| 1043245145 | MICHAEL G BERTOS M.D. Individual | Internal Medicine | 20 RESEARCH PL SUITE 310 N CHELMSFORD, MA 01863 (978) 459-2152 |
| 1205861390 | LOUIS J BRESNICK M.D. Individual | Internal Medicine | 20 RESEARCH PL SUITE 310 N CHELMSFORD, MA 01863 (978) 459-2152 |
| 1801809967 | PHILIP J TAVANO MD PC Organization | Internal Medicine | 20 RESEARCH PL SUITE 310 N CHELMSFORD, MA 01863 (978) 459-2152 |
| 1689711871 | JAYME ROSE CERULLO NP Individual | Nurse Practitioner (Family) | 20 RESEARCH PL SUITE 310 N CHELMSFORD, MA 01863 (978) 459-2152 |
| 1972625788 | LAURI A WELCH NP Individual | Nurse Practitioner | 20 RESEARCH PL SUITE 220 NORTH CHELMSFORD, MA 01863 (978) 459-6737 |
| 1033391289 | HAYWARD K ZWERLING Organization | Specialist | 20 RESEARCH PL SUITE 300 NORTH CHELMSFORD, MA 01863 (978) 459-0018 |
| 1144255712 | JESSICA WIESELQUIST MD Individual | Internal Medicine | 20 RESEARCH PL SUITE 130 NORTH CHELMSFORD, MA 01863 (978) 446-9850 |
| 1720209190 | DR. NARI SABETI MD Individual | Surgery | 20 RESEARCH PL SUITE 100 NORTH CHELMSFORD, MA 01863 (978) 452-5050 |
| 1093754087 | DR. IRVING J NEWMAN M.D. Individual | Pediatrics | 20 RESEARCH PL 200 N CHELMSFORD, MA 01863 (978) 256-2828 |
| 1629290069 | WHITNEY B HUNT MD Individual | Pediatrics | 20 RESEARCH PL NORTH CHELMSFORD, MA 01863 (978) 256-2828 |
| 1427059005 | DR. MICHELLE COCHRAN MD Individual | Specialist | 20 RESEARCH PL SUITE 320 NORTH CHELMSFORD, MA 01863 (978) 256-1858 |
| 1598907271 | ROULA JOHNSTONE ACNP-BC Individual | Nurse Practitioner (Acute Care) | 20 RESEARCH PL N CHELMSFORD, MA 01863 (978) 454-0706 |
| 1528040201 | DR. DEBORAH E FRANCIS M.D. Individual | Pediatrics | 20 RESEARCH PL SUITE 200 NORTH CHELMSFORD, MA 01863 (978) 256-2828 |
| 1396075123 | INTEGRATED GASTROENTEROLOGY CONSULTANTS, PC Organization | Physical Therapist | 20 RESEARCH PL SUITE 220 NORTH CHELMSFORD, MA 01863 (978) 459-6737 |
| 1780685909 | DR. WILLIAM J GALVIN III MD Individual | Specialist | 20 RESEARCH PL SUITE 320 NORTH CHELMSFORD, MA 01863 (978) 788-7307 |
| 1639170210 | DR. MINERVA DOMINGO MD Individual | Specialist | 20 RESEARCH PL N CHELMSFORD, MA 01863 (978) 788-7307 |
| 1275506669 | MARYBETH MARCOTTE RNC Individual | Nurse Practitioner (Obstetrics & Gynecology) | 20 RESEARCH PL SUITE 300 N CHELMSFORD, MA 01863 (978) 256-1858 |
| 1609952035 | JUDITH A BAIN NP Individual | Nurse Practitioner (Family) | 20 RESEARCH PL N CHELMSFORD, MA 01863 (978) 788-7307 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790945160, enumerated in the NPI registry as an "organization" on June 10, 2008
The provider is located at 20 Research Pl Suite 100 North Chelmsford, Ma 01863 and the phone number is (978) 446-9850
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 22D1098600 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 10, 2008. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.