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CLASSIC HEALTHCARE MEDICAL GROUP LLC
NPI 1649691957
Internal Medicine in Needham, MA

Active since January 05, 2014CLIA 22D2077704 · Waiver
300 CHESTNUT ST, STE 1400, NEEDHAM, MA 02492(781) 559-0230(781) 559-0231 Get Directions Write a Review

NPPES record last updated: January 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Classic Healthcare Medical Group Llc NPPES

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

CLASSIC HEALTHCARE MEDICAL GROUP LLC (NPI 1649691957) is a healthcare organization registered as an internal medicine in Needham, Massachusetts and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Steven Van Dam, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1649691957
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLASSIC HEALTHCARE MEDICAL GROUP LLC
Location Address300 CHESTNUT ST, STE 1400Needham, MA 02492-2497
Mailing Address300 Chestnut St, Ste 1400Needham, MA 02492-2497 · (781) 559-0230 · Fax (781) 559-0231
Phone(781) 559-0230
Fax(781) 559-0231
Organization SubpartNo
Authorized OfficialSteven Van DamMedical Director · (781) 559-0230
Enumeration DateJanuary 5, 2014
✔ NPI 1649691957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 205080
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.

300 CHESTNUT ST, Needham, MA 02492
Open in Google Maps ↗

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 ›

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 22D2077704

Classic Healthcare Medical Group LLC · Needham, MA
Active · expires May 12, 2028
CLIA Number22D2077704
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorSteven H. Van Dam
Laboratory Phone(781) 559-0230
Laboratory LocationClassic Healthcare Medical Group LLC300 Chestnut Street Suite 1400, Needham, MA 02492
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 11

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

MICHAEL L CORBETT M.D.
Orthopaedic Surgery (Sports Medicine)
300 CHESTNUT ST, SUITE 900
NEEDHAM, MA 02492
Norfolk County (781) 444-5080
DR. MADELINE BACHTA M.D.
Dermatology
300 CHESTNUT ST, SUITE 1200
NEEDHAM, MA 02492
Norfolk County (781) 449-5224
MADELINE BACHTA, MD, PC
Dermatology
300 CHESTNUT ST, SUITE 1200
NEEDHAM, MA 02492
Norfolk County (781) 449-5224
OAK STREET MEDICAL ASSOCIATES,PC
Internal Medicine (Hematology)
300 CHESTNUT ST, SUITE 700
NEEDHAM, MA 02492
Norfolk County (781) 455-6200
PLASTIC SURGERY ASSOCIATES INC
Surgery (Plastic and Reconstructive Surgery)
300 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (508) 775-7333
ALEX H. RAY, M.D., P.C.
Specialist
300 CHESTNUT ST, SUITE 800
NEEDHAM, MA 02492
Norfolk County (781) 444-8177
RICHARD W. CULLEN, DPM, P.C.
Podiatrist (Sports Medicine)
300 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (781) 444-2496
NEEDHAM ORTHOPEDIC AND SPORTS MEDICINE, LLC
Orthopaedic Surgery (Sports Medicine)
300 CHESTNUT ST, SUITE 900
NEEDHAM, MA 02492
Norfolk County (781) 444-5080

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 Classic Healthcare Medical Group LLC's NPI number?

The NPI number for Classic Healthcare Medical Group LLC is 1649691957. It was assigned to this organization in the NPPES registry on January 5, 2014.

Where is Classic Healthcare Medical Group LLC located?

Classic Healthcare Medical Group LLC is located at 300 Chestnut St Ste 1400, Needham, MA 02492. The listed phone number is (781) 559-0230.

What is Classic Healthcare Medical Group LLC's specialty?

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

Does Classic Healthcare Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2077704) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Classic Healthcare Medical Group LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Classic Healthcare Medical Group 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 Classic Healthcare Medical Group LLC was last updated on January 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.