OrganizationActive
Northeast Hospital Corporation
NPI 1164547063 · Geriatric Medicine (Internal Medicine) Physician · Danvers, MA
Provider details
- NPI number
- 1164547063
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denis Conroy, Ceo(978) 922-3000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
480 Maple St
Center for Healthy Aging
Danvers, MA 01923-4065
Phone: (866) 479-3302
Fax: (978) 921-7048
Street-level locationGet directions
Mailing address
85 Herrick Street
Beverly, MA 01915
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2014-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.