Individual provider Active NPI

Thien Van V Cai

  • Physician Assistant
  • Quincy, MA
National Provider Identifier
1134530447
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
114 Whitwell St
Quincy, MA 02169-1870
Phone
(781) 280-1500
Fax
(781) 276-6410
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

114 Whitwell St
Quincy, MA 02169-1870

Mailing address

PO Box 417379
Boston, MA 02241-7379
Phone (781) 280-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714002079 MA Practitioner - Physician Assistant 4789809476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRX UC Watertown PCGroup PAC ID 3476790163, 12 clinicians

Practice addresses (Care Compare)

1398 Massachusetts Ave
Arlington, MA 02476-4150
Phone (781) 648-4572

376 Arsenal St
Watertown, MA 02472-2892
Phone (617) 923-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. CurrentSince Dec 17, 2018 Accepting new patients
Rcna1, PLLC CurrentSince Oct 14, 2017 Accepting new patients
DRX UC Watertown PC CurrentSince Aug 11, 2015 Accepting new patients

Locations

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

129 Turnpike St
North Andover, MA 01845
Phone (978) 470-0800

376 Arsenal St
Watertown, MA 02472
Phone (617) 923-2273

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1134530447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417379",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417379",
            "telephone_number": "781-280-1500",
            "fax_number": "781-276-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WHITWELL ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691870",
            "telephone_number": "781-280-1500",
            "fax_number": "781-276-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAI",
        "first_name": "THIEN VAN",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.