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CROSSOVER HEALTH MEDICAL GROUP
NPI 1104264902
Specialist in Newburyport, MA

Active since June 13, 2013
4 STANLEY TUCKER DR, NEWBURYPORT, MA 01950(949) 891-0328 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 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 1104264902) is a healthcare organization registered as a specialist in Newburyport, Massachusetts and active in the NPI registry since June 2013. The organization lists Andrea Sullivan, Physician, as its authorized official.

NPPES Registry Identity

NPI1104264902
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address4 STANLEY TUCKER DRNewburyport, MA 01950-4039
Mailing Address26831 Aliso Creek Rd Ste 200Aliso Viejo, CA 92656-5341 · (949) 891-0328
Phone(949) 891-0328
Organization SubpartNo
Authorized OfficialAndrea SullivanPhysician · (949) 891-0328
Enumeration DateJune 13, 2013
✔ NPI 1104264902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A73842
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.
4 STANLEY TUCKER DR, Newburyport, MA 01950
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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

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 1104264902. It was assigned to this organization in the NPPES registry on June 13, 2013.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 4 Stanley Tucker Dr, Newburyport, MA 01950. 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.

When was this NPI record last updated?

The NPPES record for Crossover Health Medical Group was last updated on June 13, 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.