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ENVIRONMENTAL HEALTH CENTER OF MARTHA'S VINEYARD
NPI 1275894875
General Practice in West Tisbury, MA

Active since May 31, 2012
24 COURNOYER RD, WEST TISBURY, MA 02575(508) 693-1300(508) 693-1305 Get Directions Write a Review

NPPES record last updated: November 25, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Environmental Health Center Of Martha's Vineyard NPPES

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

ENVIRONMENTAL HEALTH CENTER OF MARTHA'S VINEYARD (NPI 1275894875) is a healthcare organization registered as a general practice in West Tisbury, Massachusetts and active in the NPI registry since May 2012. The organization lists Lisa Nagy, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1275894875
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVINEYARD PERSONALIZED MEDICINE LLC
Location Address24 COURNOYER RDWest Tisbury, MA 02575
Mailing Address24 Cournoyer RdVineyard Haven, MA 02568-7625 · (508) 693-1300 · Fax (508) 693-1305
Phone(508) 693-1300
Fax(508) 693-1305
Organization SubpartNo
Authorized OfficialLisa NagySole Proprietor · (508) 693-1300
Enumeration DateMay 31, 2012
Last NPPES UpdateNovember 25, 2015
✔ NPI 1275894875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MA · 72590
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
24 COURNOYER RD, West Tisbury, MA 02575
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Other Names 1

Doing Business AsEnvironmental Health Center Of Martha's Vineyard

Other Identifiers 1

Medicaid11009334AMA

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

Accepted Insurance

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

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 Vineyard Personalized Medicine LLC's NPI number?

The NPI number for Vineyard Personalized Medicine LLC is 1275894875. It was assigned to this organization in the NPPES registry on May 31, 2012. The provider is doing business as Environmental Health Center Of Martha's Vineyard.

Where is Vineyard Personalized Medicine LLC located?

Vineyard Personalized Medicine LLC is located at 24 Cournoyer Rd, West Tisbury, MA 02575. The listed phone number is (508) 693-1300.

What is Vineyard Personalized Medicine LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Vineyard Personalized Medicine LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Vineyard Personalized Medicine 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 Vineyard Personalized Medicine LLC was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.