HEARTSAFE. LLC

Provider Demographics

• NPI: 1245483106
• Name: HEARTSAFE. LLC
• Entity type: Organization
• Organization Name: HEARTSAFE. LLC
• Authorized Official - Title/Position: OWNER
• Authorized Official - Prefix: DR
• Authorized Official - First Name: MUSTALI
• Authorized Official - Middle Name: M
• Authorized Official - Last Name: DOHADWALA
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 978-688-2206
• Mailing Address - Street 1: 30 HIGH STREET
• Mailing Address - City: NORTH ANDOVER
• Mailing Address - State: MA
• Mailing Address - Zip Code: 01845
• Mailing Address - Country: US
• Mailing Address - Phone: 978-688-2206
• Mailing Address - Fax: 978-683-6918
• Practice Address - Street 1: 30 HIGH STREET
• Practice Address - City: NORTH ANDOVER
• Practice Address - State: MA
• Practice Address - Zip Code: 01845-5922
• Practice Address - Country: US
• Practice Address - Phone: 978-688-2206
• Practice Address - Fax: 978-683-6918
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2008-10-23
• Last Update Date: 2024-10-31

Provider Licenses

State	License ID	Taxonomies
MA	47606	207R00000X, 207UN0901X, 207RC0000X
NH	6918	207R00000X, 207RC0000X, 207UN0901X
NH	12239	207RC0000X, 207UN0901X
MA	219160	207RC0000X, 207UN0901X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207UN0901X	Allopathic & Osteopathic Physicians	Nuclear Medicine	Nuclear Cardiology	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MA	004527	Other	SEN WHOLE HEALTH
MA	AA4043	Other	HARVARD PILGRIM
MA	J26980	Other	BCBS MA
MA	0028798	Other	CIGNA
MA	0033222	Other	NEIGHBORHOOD
MA	01Y008405MA02	Other	BCBS ANTHEM
MA	468564	Other	TUFTS
MA	82960	Other	AETNA/USHEALTHCARE
MA	97247401	Other	NETWORK
MA	0037930	Other	NEIGHBORHOOD
MA	2042177	Medicaid
MA	2110812	Other	UNITED HEALTHCARE
MA	645420	Other	TUFTS
MA	3472834	Other	AETNA/USHEALTHCARE
MA	0100061YPMA01	Other	BCBS ANTHEM
MA	110014512	Other	RRMCARE
NH	30008110	Medicaid
MA	97556101	Other	NETWORK
MA	J03594	Other	BCBS MA
MA	3556	Other	HARVARD PILGRIM
NH	64110	Other	CIGNA NH
MA	CURT113057	Other	BCBS ANTHEM
MA	00286420-002	Other	UNITED HEALTHCARE
MA	14399	Other	FALLON
ME	150760099	Medicaid
MA	3091899	Medicaid
MA	59926	Other	FALLON
NH	6411	Other	CIGNA NH
MA	76462	Other	COSTCARE
MA	A66332	Other	EVERCARE
MA	0006021	Other	NEIGHBORHOOD
MA	004550	Other	SEN WHOLE HEALTH
MA	221036	Other	CIGNA
NH	30205651	Medicaid
MA	705896	Other	TUFTS
MA	H33858	Other	EVERCARE
MA	59926	Other	FALLON
MA	645420	Other	TUFTS
MA	82960	Other	AETNA/USHEALTHCARE