Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin Pathickal, DO

Individual provider Emergency Medicine Physician · NPI 1528440054

Dr. Justin Pathickal, DO is an Emergency Medicine in Salem, Massachusetts. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2020, 6 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group and accepts Medicare assignment. Licensed in Massachusetts, New York and Rhode Island.

Years since qualifying
6
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
MA, NY, RI
In the registry since
2015
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

81 Highland Ave
Salem, MA 01970-2768
Phone: (978) 741-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1016319 (MA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 294185 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DO01283 (RI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 294185 (NY)

Record details

NPI number1528440054
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2015
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address81 Highland Ave, Salem, MA 01970-2768

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2020 (6 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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