Northeast Pho, Inc
Northeast Pho, Inc is a healthcare organization registered as Case Manager/Care Coordinator in Beverly, MA, holding Type 2 (organization) NPI 1952504706 since 2007. The authorized official on file is Gregory Bazylewicz, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1952504706 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northeast Pho, Inc |
| Practice address | 55 TOZER RD, Beverly, MA, 01915 |
| Phone | 9782361744 |
| Fax | 9782361777 |
| Enumeration date | 2007-06-08 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Gregory Bazylewicz |
|---|---|
| Title | President |
| Phone | 9782361744 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 609238 | Other | MA | TUFTS HEALTH PLAN |
| M19283 | Other | MA | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: Northeast Pho, Inc NPI: 1952504706 Taxonomy: 171M00000X (Case Manager/Care Coordinator) Address: 55 TOZER RD, Beverly, MA, 01915
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750594958 | Futures Behavior Therapy Center LLC | Organization | Community/Behavioral Health Agency | Beverly, MA |
| 1033405238 | Stefanie Doucette | Individual | Behavior Analyst | Beverly, MA |
| 1548549603 | Katelyn Drouin | Individual | Behavior Analyst | Beverly, MA |
| 1639435241 | Futures Clinic, Inc. | Organization | Behavior Analyst | Beverly, MA |
| 1194137539 | Tiffany Recor | Individual | Speech-Language Pathologist | Beverly, MA |
| 1174990352 | Clara Williamson | Individual | Behavior Analyst | Beverly, MA |
| 1710355011 | Alexandra Keresztes | Individual | Behavior Analyst | Beverly, MA |
| 1508237538 | Alexandra Boepple | Individual | Behavior Analyst | Beverly, MA |
Verify this record
Cross-check NPI 1952504706 against the authoritative CMS record: view Northeast Pho, Inc 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
What is a Type 2 NPI?
What type of organization is Northeast Pho, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.