OrganizationActive
Vineyard Personalized Medicine LLC
NPI 1275894875 · General Practice Physician · West Tisbury, MA
Provider details
- NPI number
- 1275894875
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Nagy, Sole Proprietor(508) 693-1300
- License
- 72590 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
24 Cournoyer Rd
West Tisbury, MA 02575
Phone: (508) 693-1300
Fax: (508) 693-1305
Approximate (ZIP-level) locationGet directions
Mailing address
24 Cournoyer Rd
Vineyard Haven, MA 02568-7625
Other names (DBA / former)
- Doing business as
- Environmental Health Center of Martha'S Vineyard
Registry dates
- Enumerated
- 2012-05-31
- Last updated
- 2015-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.