Active NPI
Yarmouth Medical Center LLC
- Internal Medicine Physician
- West Yarmouth, MA
National Provider Identifier
1124304456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zouhdi A. Hajjaj, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3019853 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- West Yarmouth, MA
- NPI 1942262795
-
- Adult Health Nurse Practitioner
- Hyannis, MA
- NPI 1013985506
-
- Family Nurse Practitioner
- Plymouth, MA
- NPI 1922501824
-
- Adult Health Nurse Practitioner
- Yarmouth Port, MA
- NPI 1518221670
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.