Northeast Physician Practice
NPI 1750319547 · Primary Care Clinic/Center · Lynnfield, MA
Northeast Physician Practice is a Primary Care Clinic/Center organization in Lynnfield, MA (NPI 1750319547).
Provider details
- NPI number
- 1750319547
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kim Rouillard, Credentialing Manager(978) 236-1713
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Lynnfield Primary
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2007-10-25
Frequently asked questions
- What is Northeast Physician Practice's NPI number?
- Northeast Physician Practice's National Provider Identifier (NPI) is 1750319547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Physician Practice?
- Northeast Physician Practice is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northeast Physician Practice located?
- Northeast Physician Practice's practice location on file with NPPES is 628 Salem St, Lynnfield, MA 01940-2340.
- What is Northeast Physician Practice's phone number?
- The practice phone number listed in the NPPES registry for Northeast Physician Practice is (781) 598-4424.
- Who is the authorized official for Northeast Physician Practice?
- The authorized official listed on Northeast Physician Practice's NPPES record is Kim Rouillard, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Physician Practice's NPI active?
- Yes — Northeast Physician Practice's NPI (1750319547) is active in the NPPES registry as of the last update on 2007-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.