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STONEHAM MEDICAL GROUP LLC
NPI 1346222064
Internal Medicine in Stoneham, MA

Active since November 17, 2005CLIA 22D0705191 · Waiver
88 MONTVALE AVE, 2, STONEHAM, MA 02180(781) 481-9255(781) 481-9257 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stoneham Medical Group Llc NPPES

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

STONEHAM MEDICAL GROUP LLC (NPI 1346222064) is a healthcare organization registered as an internal medicine in Stoneham, Massachusetts and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Eileen Wills, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1346222064
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTONEHAM MEDICAL GROUP LLC
Location Address88 MONTVALE AVE, 2Stoneham, MA 02180-3643
Mailing AddressPo Box 760Winchester, MA 01890-4260 · (781) 756-7273 · Fax (781) 721-0725
Phone(781) 481-9255
Fax(781) 481-9257
Organization SubpartNo
Authorized OfficialEileen WillsBilling Manager · (781) 756-7273
Enumeration DateNovember 17, 2005
Last NPPES UpdateApril 22, 2015
✔ NPI 1346222064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 52067✔ Licensed in MA · 152386✔ Licensed in MA · 206855
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
88 MONTVALE AVE, Stoneham, MA 02180
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Other Identifiers 2

Medicaid9784993MA
Medicare PINM20674MA

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

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 22D0705191

Stoneham Medical Group · Stoneham, MA
Active · expires Aug 31, 2026
CLIA Number22D0705191
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorClara Cabrera
Laboratory Phone(781) 481-9255
Laboratory LocationStoneham Medical Group88 Montvale Avenue Ste 3, Stoneham, MA 02180
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

RICHARD E BENETTI M.D.
Internal Medicine
88 MONTVALE AVE, SUITE 3
STONEHAM, MA 02180
Middlesex County (781) 481-9255
HAMID R ESBAH-TABATABAIE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
88 MONTVALE AVE, SUITE 5
STONEHAM, MA 02180
Middlesex County (781) 438-7206
MERRIMACK VALLEY ORAL SURGEONS, INC
Dentist (Oral and Maxillofacial Surgery)
88 MONTVALE AVE, STE 5
STONEHAM, MA 02180
Middlesex County (781) 438-7206
MS. JESSICA ANN LYNCH A.N.P.-B.C
Nurse Practitioner (Adult Health)
88 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (781) 481-9255
KERRY MICHELLE KILBAN NP
Nurse Practitioner (Family)
88 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (781) 662-6400
STEPHANIE RACINE
Counselor (Mental Health)
88 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (781) 662-6400
ALAN D EDELSTEIN M.D.
Internal Medicine (Hematology & Oncology)
88 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (781) 279-4064
CLARA CABRERA M.D.
Internal Medicine
88 MONTVALE AVE, SUITE 3
STONEHAM, MA 02180
Middlesex County (781) 481-9255

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 Stoneham Medical Group LLC's NPI number?

The NPI number for Stoneham Medical Group LLC is 1346222064. It was assigned to this organization in the NPPES registry on November 17, 2005.

Where is Stoneham Medical Group LLC located?

Stoneham Medical Group LLC is located at 88 Montvale Ave 2, Stoneham, MA 02180. The listed phone number is (781) 481-9255.

What is Stoneham Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Stoneham Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0705191) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stoneham Medical Group LLC was last updated on April 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.