NOVELLA MEDICINE SERVICES OF MASSACHUSETTS, PLLC
Complete NPI Record 1689316283
Internal Medicine in Worcester, MA
Active since April 13, 2022CLIA Certified · 14 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Novella Medicine Services Of Massachusetts, Pllc (NPI 1689316283), an internal medicine organization in Worcester, MA. All 30 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1689316283 Field 1/30
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/30
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/30
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: NOVELLA MEDICINE SERVICES OF MASSACHUSETTS, PLLC Field 4/30
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 1111B S GOVERNORS AVE STE 3887 Field 5/30
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DOVER Field 6/30
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: DE Field 7/30
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 199046903 Field 8/30
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/30
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 5084333687 Field 10/30
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 416 BELMONT ST STE 206 Field 11/30
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: WORCESTER Field 12/30
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: MA Field 13/30
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 016041086 Field 14/30
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/30
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 6038369869 Field 16/30
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: THORNDIKE Field 19/30
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ROBERT Field 20/30
- The first name of the authorized official.
- Authorized Official Middle Name: AMORY Field 21/30
- The middle name of the authorized official.
- Authorized Official Title or Position: MANAGER Field 22/30
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7817245916 Field 23/30
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QM1300X Field 24/30
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 25/30
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 207R00000X Field 26/30
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 27/30
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 28/30
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 29/30
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 17
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
48 Dunham Rd Ste 4150
Location 1/17Beverly, MA 01915-1844 · Phone (508) 433-3687
210 Bear Hill Rd Ste 204
Location 2/17Waltham, MA 02451-1025 · Phone (603) 836-9869
1275 Elm St Ste D
Location 3/17West Springfield, MA 01089-1818 · Phone (508) 433-3687 · Fax (508) 283-1414
95 Tremont St Ste 3
Location 4/17Duxbury, MA 02332-4738 · Phone (508) 433-3687
50 Redfield St Ste 208
Location 5/17Dorchester, MA 02122-3646 · Phone (508) 433-3687
349 Main St Ste B
Location 6/17West Yarmouth, MA 02673-4620 · Phone (508) 433-3687
1575 N Main St
Location 7/17Fall River, MA 02720-2917 · Phone (508) 433-3687
91 Washington St Unit 202
Location 8/17Taunton, MA 02780-7404 · Phone (508) 433-3687
575 Mount Auburn St Ste B102
Location 9/17Cambridge, MA 02138-4627 · Phone (508) 433-3687
23 Warren Ave Ste 145
Location 10/17Woburn, MA 01801-7906 · Phone (508) 433-3687
198 Charlton Rd Ste 206
Location 11/17Sturbridge, MA 01566-1571 · Phone (781) 724-5916
506 Groton Rd Ste B
Location 12/17Westford, MA 01886-6326 · Phone (508) 433-3687
95 Vernon St Ste 303
Location 13/17Worcester, MA 01610-1988 · Phone (508) 433-3687
1221 Main St Ste 404
Location 14/17Weymouth, MA 02190-1562 · Phone (508) 433-3687 · Fax (508) 283-1414
22 South St Ste 201
Location 15/17Hopkinton, MA 01748-2247 · Phone (508) 433-3687 · Fax (508) 283-1414
62 Brown St Ste 501
Location 16/17Haverhill, MA 01830-6790 · Phone (508) 433-3687
1400 Rt 28A
Location 17/17Cataumet, MA 02534-1080 · Phone (508) 433-3687
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