Organization Active NPI

Yarmouth Medical Center LLC

  • Internal Medicine Physician
  • West Yarmouth, MA
National Provider Identifier
1124304456
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
YARMOUTH MEDICAL CENTER LLC
Practice address
21 Aarons Way Unit 2
West Yarmouth, MA 02673-2596
Phone
(508) 760-2054
Fax
(508) 760-1218
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Zouhdi A. Hajjaj, MDNPI 1942262795
Title
President
Phone
(617) 943-5114

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 Primary

Addresses

Primary practice location

21 Aarons Way Unit 2
West Yarmouth, MA 02673-2596

Mailing address

10 Little Brook Rd
West Wareham, MA 02576-1222
Phone (800) 841-5200

Other identifiers 1

IdentifierTypeStateIssuer
3019853MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120405000009 MA Part B Supplier - Clinic/Group Practice 4981865672 Receives reassigned benefits from 5 practitioners
Practice locations: Brewster, MA; S Yarmouth, MA; W Yarmouth, MA

National Provider Directory

National Provider Directory

Locations

21 Aarons Way
Unit 2
West Yarmouth, MA 02673
Phone (508) 760-2054

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1124304456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LITTLE BROOK RD",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025761222",
            "telephone_number": "800-841-5200",
            "fax_number": "508-273-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 AARONS WAY UNIT 2",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026732596",
            "telephone_number": "508-760-2054",
            "fax_number": "508-760-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARMOUTH MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "HAJJAJ",
        "authorized_official_first_name": "ZOUHDI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-943-5114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019853",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.