NORTHEAST MEDICAL GROUP, INC.
NPI 1104575166
Registered Nurse - Psychiatric/Mental Health, Adult in Lowell, MA

NPI Status: Active since March 18, 2022

Contact Information

275 VARNUM AVE STE 108
LOWELL, MA
ZIP 01854
Phone: (978) 710-4242
Fax: (978) 710-4202

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  • Organization
  • Registered Nurse
  • Psychiatric/Mental Health, Adult
  • CLIA Number: 22D2007127
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-09-2028

About NORTHEAST MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Northeast Medical Group, Inc., a provider established in Lowell, Massachusetts operating as a Registered Nurse, focusing in psychiatric/mental health, adult . The healthcare provider is registered in the NPI registry with number 1104575166 assigned on March 2022. The practitioner's primary taxonomy code is 163WP0809X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Sachin B Patel Md (President)

NPI
1104575166
Provider Name
NORTHEAST MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
275 VARNUM AVE STE 108 LOWELL, MA 01854
Location Phone
(978) 710-4242
Location Fax
(978) 710-4202
Mailing Address
275 VARNUM AVE STE 108 LOWELL, MA 01854
Mailing Phone
(978) 710-4242
Mailing Fax
(978) 710-4202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2022
Last Update Date
03-18-2022
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A registered nurse (RN) like Northeast Medical Group, Inc. coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

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

Registered Nurse Psychiatric/Mental Health, Adult

Taxonomy Code
163WP0809X
Type
Nursing Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
3364SP0809XPhysician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist
Psychiatric/Mental Health, Adult

 

Group Taxonomy 193400000X MULTIPLE 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.

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

SACHIN B PATEL MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(978) 710-4242

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
22D2007127
Facility Type
Physician Office
Certificate Effective Date
May 10, 2026
Certificate Expiration Date
May 09, 2028
Laboratory Director
SACHIN B. PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northeast Medical Group, Inc. 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104575166, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 0 + 7 + 1 + 0 + 1 + 1 + 2 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1104575166.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Home Health
275 VARNUM AVE STE 108
LOWELL, MA 01854
Foster Care Agency
275 VARNUM AVE STE 108
LOWELL, MA 01854
Case Management
275 VARNUM AVE STE 108
LOWELL, MA 01854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104575166, enumerated as an "organization" on March 18, 2022.

The provider is located at 275 VARNUM AVE STE 108 LOWELL, MA 01854 and the phone number is (978) 710-4242.

Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.