MEDIWEIGHTLOSS OF WAKEFIELD
NPI 1336692243
Family Medicine in Wakefield, MA

Active since July 27, 2016CLIA 22D2002928 · Waiver
603 SALEM ST, WAKEFIELD, MA 01880(781) 245-6334 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mediweightloss Of Wakefield NPPES

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

MEDIWEIGHTLOSS OF WAKEFIELD (NPI 1336692243) is a healthcare organization registered as a family medicine in Wakefield, Massachusetts and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Jeanne Marie Kilp, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1336692243
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKJC MEDI WEIGHTLOSS LLC
Location Address603 SALEM STWakefield, MA 01880-1227
Mailing Address603 Salem StWakefield, MA 01880-1227 · (781) 245-6334
Organization SubpartNo
Authorized OfficialJeanne Marie KilpMedical Director · (781) 245-6334
Enumeration DateJuly 27, 2016
Last NPPES UpdateSeptember 28, 2016
NPI 1336692243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 50673
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.
603 SALEM ST, Wakefield, MA 01880

Other Names 1

Doing Business AsMediweightloss Of Wakefield

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

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 22D2002928

Kjc Medi Weight Loss, LLC · Wakefield, MA
Active · expires Jan 27, 2028
CLIA Number22D2002928
Laboratory TypeMedical Weight Loss Offic
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorJeanne M. Kilp
Laboratory Phone(781) 245-6334
Laboratory LocationKjc Medi Weight Loss, LLC603 Salem Street, Wakefield, MA 01880
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Obesity Medicine)
603 SALEM ST, UNIT 3
WAKEFIELD, MA 01880
Obstetrics & Gynecology (Obesity Medicine)
603 SALEM ST
WAKEFIELD, MA 01880

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 Kjc Medi Weightloss LLC's NPI number?

The NPI number for Kjc Medi Weightloss LLC is 1336692243. It was assigned to this organization in the NPPES registry on July 27, 2016. The provider is doing business as Mediweightloss Of Wakefield.

Where is Kjc Medi Weightloss LLC located?

Kjc Medi Weightloss LLC is located at 603 Salem St, Wakefield, MA 01880. The listed phone number is (781) 245-6334.

What is Kjc Medi Weightloss LLC's specialty?

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

Does Kjc Medi Weightloss LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2002928) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kjc Medi Weightloss LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kjc Medi Weightloss 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 Kjc Medi Weightloss LLC was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.