Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VINEYARD PERSONALIZED MEDICINE LLC
Active
Organization
VINEYARD PERSONALIZED MEDICINE LLC
Active
Other names
Environmental Health Center of Martha's Vineyard
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NAGY MD (SOLE PROPRIETOR)
(508) 693-1300
Entity
Organization
Contact information
Practice address
24 COURNOYER RD, WEST TISBURY, MA 02575
(508) 693-1300
(508) 693-1305
Mailing address
24 COURNOYER RD, VINEYARD HAVEN, MA 02568-7625
(508) 693-1300
(508) 693-1305
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
72590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11009334A
—
MA
Enumeration date
05/31/2012
Last updated
11/25/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers