OrganizationActive
Coordinated Primary Care
NPI 1104880673 · Neurology Physician · Leominster, MA
Provider details
- NPI number
- 1104880673
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Coordinated Primary Care
- Organization subpart
- Yes
- Authorized official
- Phyllis Fabello, Director Cpc(978) 466-4243
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
50 Memorial Drive
Suite 211
Leominster, MA 01453
Phone: (978) 466-2411
Fax: (978) 537-9211
Street-level locationGet directions
Mailing address
50 Memorial Drive
Leominster, MA 01453
Other names (DBA / former)
- Doing business as
- Healthalliance Neurology
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2008-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.