Healthcare Provider Details

I. General information

NPI: 1427875962
Provider Name (Legal Business Name): MATTHEW GERARD CUMMINGS ACNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 BURLINGTON MALL RD
BURLINGTON MA
01805-3350
US

IV. Provider business mailing address

41 BURLINGTON MALL ROAD
BURLINGTON MA
01805-0001
US

V. Phone/Fax

Practice location:
  • Phone: 781-212-2111
  • Fax:
Mailing address:
  • Phone: 781-744-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN2358301
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: