NORTHEAST PHO, INC
NPI 1952504706
Case Manager/Care Coordinator in Beverly, MA

NPI Status: Active since June 08, 2007

Contact Information

55 TOZER RD
BEVERLY, MA
ZIP 01915
Phone: (978) 236-1744
Fax: (978) 236-1777

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  • Organization
  • Case Manager/Care Coordinator

About NORTHEAST PHO, INC

This page provides the complete NPI Profile along with additional information for Northeast Pho, Inc, a provider established in Beverly, Massachusetts operating as a Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1952504706 assigned on June 2007. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Northeast Pho, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Gregory Bazylewicz M.d. (President)

NPI
1952504706
Provider Name
NORTHEAST PHO, INC
Entity Type
Organization
Location Address
55 TOZER RD BEVERLY, MA 01915
Location Phone
(978) 236-1744
Location Fax
(978) 236-1777
Mailing Address
55 TOZER RD BEVERLY, MA 01915
Mailing Phone
(978) 236-1744
Mailing Fax
(978) 236-1777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GREGORY BAZYLEWICZ M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(978) 236-1744

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
609238OTHER (01)MATUFTS HEALTH PLAN
M19283OTHER (01)MABLUE CROSS BLUE SHIELD

Reviews for NORTHEAST PHO, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952504706
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102100870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 0 + 0 + 8 + 7 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1952504706 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

FUTURES CLINIC, INC.

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 993-8096

KATELYN DROUIN BCBA

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 993-8096

SAVANNAH VICTORIA LEE M.S., OTR/L

Occupational Therapist

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

FUTURES BEHAVIOR THERAPY CENTER LLC

Community/Behavioral Health

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

FUTURES BEHAVIOR THERAPY CENTER LLC

Community/Behavioral Health

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

KAROLINA DZIARNOWSKI

Speech-Language Pathologist

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

ALYSSA CHAVES M.ED, LABA

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

TAYLOR ROSE

Occupational Therapist

(Pediatrics)

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

CAMILLE GILLOTTI FRANCEY M.S. BCBA, LABA

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

CLARA WILLIAMSON BCBA

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

STEFANIE DOUCETTE BCBA

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

TIFFANY RECOR M.A. CCC-SLP

Speech-Language Pathologist

55 TOZER RD
BEVERLY, MA
ZIP 01915

(518) 420-6324

KRISTYN HEUSLEIN

Occupational Therapist

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

CORRIE KOZIOL

Occupational Therapist

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

NATASHA ELIZABETH DASILVA

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

CORINNE HUNTLEY

Speech-Language Pathologist

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

ALEXANDRA KERESZTES

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

SARAH ROSAMOND CARTER

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 969-2894

ALLISON YVONNE CREDIT

Behavior Analyst

55 TOZER RD
BEVERLY, MA
ZIP 01915

(289) 497-8969

LEAH JANE PELLETIER OTR/L

Occupational Therapist

55 TOZER RD
BEVERLY, MA
ZIP 01915

(978) 696-2894

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952504706, enumerated as an "organization" on June 08, 2007.

The provider is located at 55 TOZER RD BEVERLY, MA 01915 and the phone number is (978) 236-1744.

Case Manager/Care Coordinator with taxonomy code 171M00000X.

The provider might be accepting Accepts: Tufts Health Plan, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.