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HAVEN MEDICAL GROUP, LLC
NPI 1710369368
Internal Medicine - Addiction Medicine in Concord, MA

Active since June 19, 2015
86 BAKER AVENUE EXT, CONCORD, MA 01742(978) 391-9275 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2018, Jan 3, 2017 (2 updates tracked since 2017).

About Haven Medical Group, Llc NPPES

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

HAVEN MEDICAL GROUP, LLC (NPI 1710369368) is a healthcare organization registered as an addiction medicine in Concord, Massachusetts and active in the NPI registry since June 2015. The organization lists Sanjay Basu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710369368
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameHAVEN MEDICAL GROUP, LLC
Location Address86 BAKER AVENUE EXTConcord, MA 01742-2132
Mailing Address86 Baker Avenue ExtConcord, MA 01742-2132 · (978) 391-9275
Phone(978) 391-9275
Organization SubpartNo
Authorized OfficialSanjay BasuCeo · (617) 646-9912
Enumeration DateJune 19, 2015
Last NPPES UpdateJanuary 10, 20182 updates tracked since enumeration
✔ NPI 1710369368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
86 BAKER AVENUE EXT, Concord, MA 01742
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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

Other Providers at the Same Location NPPES 17

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

JESSICA RAE RUBINSTEIN MD
Pediatrics
86 BAKER AVENUE EXT, HVMA-CHMA DEPT OF PEDIATRICS
CONCORD, MA 01742
Middlesex County (978) 287-9407
MS. ANNE KHUDARI LICSW
Social Worker (Clinical)
86 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (978) 369-1113
SARAH COMPTON LCSW
Social Worker (Clinical)
86 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (978) 369-1113
DR. MURRAY H BAUMAL O.D.
Optometrist
86 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (978) 287-9552
SARA GORDON BELMONT LCSW
Social Worker
86 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (978) 369-1113
MS. DEBORAH J STANG NP
Nurse Practitioner (Pediatrics)
86 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (978) 287-9400
DR. YA TZE TONG M.D.
Internal Medicine
86 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (978) 287-9310
CAITLIN BARBA LCSW
Social Worker
86 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (617) 545-3344

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 Haven Medical Group, LLC's NPI number?

The NPI number for Haven Medical Group, LLC is 1710369368. It was assigned to this organization in the NPPES registry on June 19, 2015.

Where is Haven Medical Group, LLC located?

Haven Medical Group, LLC is located at 86 Baker Avenue Ext, Concord, MA 01742. The listed phone number is (978) 391-9275.

What is Haven Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Haven Medical Group, LLC was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.