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CROSSOVER HEALTH MEDICAL GROUP
NPI 1104263953
Specialist in Gloucester, MA

Active since June 03, 2013CLIA 22D2064327 · Waiver
35 DORY RD, GLOUCESTER, MA 01930(949) 891-0328 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Crossover Health Medical Group NPPES

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

CROSSOVER HEALTH MEDICAL GROUP (NPI 1104263953) is a healthcare organization registered as a specialist in Gloucester, Massachusetts and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Richard M Patragnoni, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104263953
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address35 DORY RDGloucester, MA 01930-2236
Mailing Address26831 Aliso Creek Rd Ste 200Aliso Viejo, CA 92656-5341 · (949) 891-0328
Phone(949) 891-0328
Organization SubpartNo
Authorized OfficialRichard M PatragnoniMedical Director · (949) 891-0328
Enumeration DateJune 3, 2013
✔ NPI 1104263953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A62815
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
35 DORY RD, Gloucester, MA 01930
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 22D2064327

Crossover Health Medical Group Apc · Gloucester, MA
Active · expires Jul 21, 2028
CLIA Number22D2064327
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(978) 282-2220
Laboratory LocationCrossover Health Medical Group Apc35 Dory Road, Gloucester, MA 01930
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.

DR. BARRY GIGLIO MD
Family Medicine
35 DORY RD
GLOUCESTER, MA 01930
Essex County (978) 282-2220

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 Crossover Health Medical Group's NPI number?

The NPI number for Crossover Health Medical Group is 1104263953. It was assigned to this organization in the NPPES registry on June 3, 2013.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 35 Dory Rd, Gloucester, MA 01930. The listed phone number is (949) 891-0328.

What is Crossover Health Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Crossover Health Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2064327) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crossover Health Medical Group was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.