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JSB WELLNESS, LLC
NPI 1184379919
Family Medicine in North Andover, MA

Active since February 21, 2022CLIA 22D2262734 · Waiver
997 OSGOOD STREET, NORTH ANDOVER, MA 01845(978) 580-9758 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jsb Wellness, Llc NPPES

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

JSB WELLNESS, LLC (NPI 1184379919) is a healthcare organization registered as a family medicine in North Andover, Massachusetts and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Jennifer Sirois Beaudoin, President, Owner, as its authorized official.

NPPES Registry Identity

NPI1184379919
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJSB WELLNESS, LLC
Location Address997 OSGOOD STREETNorth Andover, MA 01845
Mailing Address18 Birch Hill DrMethuen, MA 01844-4165 · (978) 580-9758
Phone(978) 580-9758
Organization SubpartNo
Authorized OfficialJennifer Sirois BeaudoinPresident, Owner · (978) 580-9758
Enumeration DateFebruary 21, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1184379919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
Also ListedPediatrics · Obesity MedicineTaxonomy 2080B0002X
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
997 OSGOOD STREET, North Andover, MA 01845
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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 22D2262734

Jsb Wellness, LLC Dba Medi-Weightloss - North Andover · North Andover, MA
Active · expires Jun 15, 2028
CLIA Number22D2262734
Laboratory TypePractitioner Other
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorIbrahim Eid
Laboratory Phone(978) 580-9758
Laboratory LocationJsb Wellness, LLC Dba Medi-Weightloss - North Andover997 Osgood St, North Andover, MA 01845
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jsb Wellness, LLC's NPI number?

The NPI number for Jsb Wellness, LLC is 1184379919. It was assigned to this organization in the NPPES registry on February 21, 2022.

Where is Jsb Wellness, LLC located?

Jsb Wellness, LLC is located at 997 Osgood Street, North Andover, MA 01845. The listed phone number is (978) 580-9758.

What is Jsb Wellness, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jsb Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2262734) is associated with this NPI, valid through June 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jsb Wellness, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jsb Wellness, LLC 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 Jsb Wellness, LLC was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.