Provider Demographics
NPI:1821802943
Name:NEXT GENERATION FAMILY PRACTICE PC
Entity type:Organization
Organization Name:NEXT GENERATION FAMILY PRACTICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:413-464-1586
Mailing Address - Street 1:312 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:MA
Mailing Address - Zip Code:01238-1128
Mailing Address - Country:US
Mailing Address - Phone:413-464-1586
Mailing Address - Fax:
Practice Address - Street 1:312 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:MA
Practice Address - Zip Code:01238-1128
Practice Address - Country:US
Practice Address - Phone:413-464-1586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1477255628Medicaid
MA1477255628OtherHNE
MA1477255628OtherBCBS