MEDICARE: NORTH SUFFOLK COMMUNITY SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	4027	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	708502	OTHER	MA	TUFTS HEALTH PLANS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	214325	OTHER	MA	MAGELLAN BEHAVIORAL HLTH
7	996251-01	OTHER	MA	NETWORK HEALTH
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	A011775	OTHER	MA	MASS. BEHAVIORAL HEALTH PARTNERSHIP
10	7216	OTHER	MA	BMC HEALTHNET
11	A012487	OTHER	MA	MASS. BEHAVIORAL HEALTH PARTNERSHIP NODDLES ISLAND
12	1002420	OTHER	MA	BEACON HEALTH STRATEGIES
13	M18732	OTHER	MA	BLUE CROSS OF MA

General Provider Information

NPI Number	:	1740209881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH SUFFOLK COMMUNITY SERVICES INC.

Provider Business Mailing Address
First Line	:	301 BROADWAY
Second Line	:
City	:	CHELSEA
State	:	MA
Zip	:	02150-2807
Country	:	US
Telephone Number	:	617-889-4860
Fax Number	:	617-889-4635

Provider Business Practice Location Address
First Line	:	14 PORTER ST
Second Line	:
City	:	EAST BOSTON
State	:	MA
Zip	:	02128-2116
Country	:	US
Telephone Number	:	617-569-3189
Fax Number	:	617-569-7890

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JUDI LEMOINE
Credential	:
Telephone Number	:	617-912-7910

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	05/17/2024

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1811376130 — AHMED MAKHLOUF M.D.
Practice Location Address:

14 PORTER ST
BOSTON, MA
02128-2116

Practice Phone: 617-569-3189
Practice Fax:

1114033644 — MS. SUSAN MERRILL BRUCE LICSW
Practice Location Address:

14 PORTER ST
EAST BOSTON, MA
02128-2116

Practice Phone: 617-912-7575
Practice Fax: 617-569-7890

1457466021 — KIRA JOY PULLIG
Practice Location Address:

14 PORTER ST
EAST BOSTON, MA
02128-2116

Practice Phone: 617-569-3189
Practice Fax: 617-569-7890

1295844496 — MS. CYNTHIA L PULS RN
Practice Location Address:

14 PORTER ST
EAST BOSTON, MA
02128-2116

Practice Phone: 617-569-3189
Practice Fax: 617-569-7890

1760591945 — MRS. JUDITH A LEMOINE RN, BSN
Practice Location Address:

14 PORTER ST
EAST BOSTON, MA
02128-2116

Practice Phone: 617-569-3189
Practice Fax: 617-569-7890

Directions to “NORTH SUFFOLK COMMUNITY SERVICES INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.