MEDICARE: ASSOCIATES IN NEPHROLOGY, PC

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	207RN0300X	Nephrology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	CM6110	OTHER	MA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000005590	OTHER	MA	HEALTH NETPLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	600658	OTHER	MA	HARVARD PILGRIM
4	M14115	OTHER	MA	BLUECROSS/BLUESHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	600317	OTHER	MA	TUFTS

General Provider Information

NPI Number	:	1154372142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN NEPHROLOGY, PC

Provider Business Mailing Address
First Line	:	76 CAMPENELLI INDUSTRIAL DR
Second Line	:
City	:	BROCKTON
State	:	MA
Zip	:	02301-0000
Country	:	US
Telephone Number	:	508-587-0700
Fax Number	:	508-587-0287

Provider Business Practice Location Address
First Line	:	76 CAMPENELLI INDUSTRIAL DR
Second Line	:
City	:	BROCKTON
State	:	MA
Zip	:	02301-0000
Country	:	US
Telephone Number	:	508-587-0700
Fax Number	:	508-587-0287

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	LISA SILVA
Credential	:
Telephone Number	:	508-587-0700

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	08/27/2025

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