Provider Demographics
NPI:1881870822
Name:DR. NAYELI V. MCCASKEY PC
Entity type:Organization
Organization Name:DR. NAYELI V. MCCASKEY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAYELI
Authorized Official - Middle Name:V
Authorized Official - Last Name:MCCASKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-458-2616
Mailing Address - Street 1:PO BOX 322
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-0322
Mailing Address - Country:US
Mailing Address - Phone:978-458-2616
Mailing Address - Fax:
Practice Address - Street 1:1 COURTHOUSE LN # U-14F
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1738
Practice Address - Country:US
Practice Address - Phone:978-458-2616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-19
Last Update Date:2008-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0276057Medicaid