Organization Active NPI

Dr. He'S Primary Care for Adults Inc

  • Internal Medicine Physician
  • Marlborough, MA
National Provider Identifier
1083928394
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
206099 Issued in MA
Legal business name
DR. HE'S PRIMARY CARE FOR ADULTS INC
Practice address
640 Bolton St
Marlborough, MA 01752-3999
Phone
(508) 481-0200
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Shunian He, M.D.NPI 1740207471
Title
President
Phone
(978) 263-5878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 206099 MA Primary

Addresses

Primary practice location

640 Bolton St
Marlborough, MA 01752-3999

Mailing address

116 Canterbury Hill Rd
Acton, MA 01720-4924
Phone (978) 263-5878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101018000998 MA Part B Supplier - Clinic/Group Practice 9234322629 Receives reassigned benefits from 2 practitioners
Practice locations: Marlborough, MA

National Provider Directory

National Provider Directory

Locations

28 Lord Rd
Ste 255
Marlborough, MA 01752
Phone (508) 481-2890

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1083928394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CANTERBURY HILL RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204924",
            "telephone_number": "978-263-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523999",
            "telephone_number": "508-481-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HE'S PRIMARY CARE FOR ADULTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "SHUNIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-263-5878",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "206099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.