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

Q: What is Northeast Pho, Inc's NPI number?

The NPI number for Northeast Pho, Inc is 1952504706. It was assigned to this organization in the NPPES registry on June 8, 2007.

Q: What is Northeast Pho, Inc's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since June 08, 2007

55 TOZER RD, BEVERLY, MA 01915(978) 236-1744(978) 236-1777 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northeast Pho, Inc NPPES

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

NORTHEAST PHO, INC (NPI 1952504706) is a healthcare organization registered as a case manager/care coordinator in Beverly, Massachusetts and active in the NPI registry since June 2007. The organization lists Gregory Bazylewicz, President, as its authorized official.

NPPES Registry Identity

NPI1952504706

Entity TypeOrganization

Primary Taxonomy171M00000X

Legal Business NameNORTHEAST PHO, INC

Location Address55 TOZER RDBeverly, MA 01915-5515

Mailing Address55 Tozer RdBeverly, MA 01915-5515 · (978) 236-1744 · Fax (978) 236-1777

Phone(978) 236-1744

Fax(978) 236-1777

Organization SubpartNo

Authorized OfficialGregory BazylewiczPresident · (978) 236-1744

Enumeration DateJune 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1952504706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

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.

55 TOZER RD, Beverly, MA 01915

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Other Identifiers 2

Other609238MA · Tufts Health Plan

OtherM19283MA · Blue Cross Blue Shield

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

Other Providers at the Same Location NPPES 20

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

TYMRA ASHLEY MORRIS

Behavior Analyst

55 TOZER RD
BEVERLY, MA 01915

Essex County (978) 969-2894

FRANCINY MARIE LICHTENBERG

Behavior Technician

55 TOZER RD
BEVERLY, MA 01915

Essex County (978) 969-2894

STEFANIE DOUCETTE BCBA

Behavior Analyst

55 TOZER RD
BEVERLY, MA 01915

Essex County (978) 969-2894

JENNY MASOTTA

Behavior Technician

55 TOZER RD
BEVERLY, MA 01915

Essex County (978) 969-2894

NAISHALEE VICTORIA FIGUEROA CINTRON

Behavior Technician

55 TOZER RD
BEVERLY, MA 01915

Essex County (978) 969-2894

OURANIA GKIKA

Behavior Technician

55 TOZER RD
BEVERLY, MA 01915

Essex County (978) 969-2894

ELIZABETH MARIE FIANDACA

Behavior Analyst

55 TOZER RD
BEVERLY, MA 01915

Essex County (978) 969-2894

ALYSSA CHAVES M.ED, LABA

Behavior Analyst

55 TOZER RD
BEVERLY, MA 01915

Essex County (978) 969-2894

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 Northeast Pho, Inc's NPI number?

The NPI number for Northeast Pho, Inc is 1952504706. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Northeast Pho, Inc located?

Northeast Pho, Inc is located at 55 Tozer Rd, Beverly, MA 01915. The listed phone number is (978) 236-1744.

What is Northeast Pho, Inc's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Northeast Pho, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.