Northeast Physician Practice
Northeast Physician Practice is a healthcare organization registered as Specialist in Lynn, MA, holding Type 2 (organization) NPI 1841228632 since 2006. The authorized official on file is Kim Rouillard, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1841228632 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northeast Physician Practice |
| Other name | <Unavail> |
| Practice address | 225 BOSTON ST, SUITE 205, Lynn, MA, 01904 |
| Phone | 7815954544 |
| Fax | 7815813740 |
| Enumeration date | 2006-06-29 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Kim Rouillard |
|---|---|
| Title | Credentialing Manager |
| Phone | 9788186110 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | — | — |
Copy-ready billing details
Provider: Northeast Physician Practice NPI: 1841228632 Taxonomy: 174400000X (Specialist) Address: 225 BOSTON ST, SUITE 205, Lynn, MA, 01904
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700881091 | David Greenseid | Individual | Ophthalmology Physician | Lynn, MA |
| 1104827559 | Robert Cross | Individual | Clinical Psychologist | Lynn, MA |
| 1932166196 | James Gottschall | Individual | Internal Medicine Physician | Lynn, MA |
| 1255399440 | Dean Blass | Individual | Specialist | Lynn, MA |
| 1285685941 | Edith Nourse Rogers Memorial Vamc | Organization | Special Hospital | Lynn, MA |
| 1255388047 | Toryalai Amiri | Individual | Internal Medicine Physician | Lynn, MA |
| 1073550588 | Bedford Vamc | Organization | VA Clinic/Center | Lynn, MA |
| 1427079102 | Mark Wilner | Individual | Oral and Maxillofacial Surgery (Dentist) | Lynn, MA |
Verify this record
Cross-check NPI 1841228632 against the authoritative CMS record: view Northeast Physician Practice on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Northeast Physician Practice located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.