1184611535 NPI number — DR. AIMEE JUNE HROMADKA MD

Table of content: KRISTIN MARIE SCHNEIDER (NPI 1972981736)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184611535 NPI number — DR. AIMEE JUNE HROMADKA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HROMADKA
Provider First Name:
AIMEE
Provider Middle Name:
JUNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BLACK
Provider Other First Name:
AIMEE
Provider Other Middle Name:
JUNE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1184611535
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
414 HAVERHILL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROWLEY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01969-1919
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-379-5522
Provider Business Mailing Address Fax Number:
978-948-5200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
414 HAVERHILL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROWLEY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01969-1919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-379-5522
Provider Business Practice Location Address Fax Number:
978-948-5200
Provider Enumeration Date:
09/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  218781 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2078244 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: AA13678 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 80788 . This is a "FALLON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7702170 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 469148 . This is a "TUFTS & SEC HORIZONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2483817 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: J27610 . This is a "BCBS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 68677 . This is a "CMSP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3609763 . This is a "AETNA USHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 96986801 . This is a "NETWORK HEALTH" identifier . This identifiers is of the category "OTHER".




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