Stony Brook Primary Care LLC
NPI 1790945160ActiveOrganization· Internal Medicine· North Chelmsford, MA
Internal Medicine in North Chelmsford, Massachusetts, registered in NPPES in June 2008. The authorized official on file is Jessica Wieselquist, MD, Owner/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790945160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2008 |
| Last updated in NPPES | Jul 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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