MASS GENERAL BRIGHAM MEDICAL GROUP, INC.
NPI 1083360200
Internal Medicine in Salem, NH

Active since February 25, 2022CLIA 30D2262157 · Waiver
30 TUSCAN BOULEVARD, SALEM, NH 03079(857) 282-7014 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Feb 24, 2023, Sep 27, 2022 and 2 more (5 updates tracked since 2022).

About Mass General Brigham Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASS GENERAL BRIGHAM MEDICAL GROUP, INC. (NPI 1083360200) is a healthcare organization registered as an internal medicine in Salem, New Hampshire and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Vincent T Mcdermott, Sr Vp Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1083360200
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMASS GENERAL BRIGHAM MEDICAL GROUP, INC.
Location Address30 TUSCAN BOULEVARDSalem, NH 03079
Mailing Address30 Tuscan BoulevardSalem, NH 03079
Organization SubpartNo
Authorized OfficialVincent T McdermottSr Vp Finance/cfo · (617) 243-6381
Enumeration DateFebruary 25, 2022
Last NPPES UpdateDecember 6, 20235 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1083360200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedAudiologistTaxonomy 231H00000X
30 TUSCAN BOULEVARD, Salem, NH 03079

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2262157

Mass General Brigham Medical Group · Salem, NH
Active · expires Jun 9, 2028
CLIA Number30D2262157
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorGhinwa Hassan
Laboratory Phone(857) 282-8100
Laboratory LocationMass General Brigham Medical Group30 Tuscan Blvd, Ste 200, Salem, NH 03079
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
30 TUSCAN BOULEVARD
SALEM, NH 03079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mass General Brigham Medical Group, Inc.'s NPI number?

The NPI number for Mass General Brigham Medical Group, Inc. is 1083360200. It was assigned to this organization in the NPPES registry on February 25, 2022.

Where is Mass General Brigham Medical Group, Inc. located?

Mass General Brigham Medical Group, Inc. is located at 30 Tuscan Boulevard, Salem, NH 03079. The listed phone number is (857) 282-7014.

What is Mass General Brigham Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mass General Brigham Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2262157) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mass General Brigham Medical Group, Inc. accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Mass General Brigham Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mass General Brigham Medical Group, Inc. was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.