Organization Active NPI

H. Gregory Ota, M.D., P.C

  • Medical Specialty Clinic/Center
  • Medford, MA
National Provider Identifier
1033491766
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
54244 Issued in MA
Legal business name
H. GREGORY OTA, M.D., P.C
Practice address
101 Main St
Suite 216
Medford, MA 02155-4540
Phone
(781) 874-1965
Fax
(781) 874-1967
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
H Gregory Ota, M.D.
Title
President
Phone
(781) 874-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 54244 MA Primary

Addresses

Primary practice location

101 Main St
Suite 216
Medford, MA 02155-4540

Mailing address

101 Main St
Suite 216
Medford, MA 02155-4540
Phone (781) 874-1965

National Provider Directory

National Provider Directory

Locations

101 Main St
Ste 216
Medford, MA 02155
Phone (781) 620-4717

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1033491766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "address_2": "SUITE 216",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554540",
            "telephone_number": "781-874-1965",
            "fax_number": "781-874-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "address_2": "SUITE 216",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554540",
            "telephone_number": "781-874-1965",
            "fax_number": "781-874-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. GREGORY OTA, M.D., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "OTA",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-874-1965",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "54244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.