Active NPI
Coastal Medical Associates, Inc.
- Obstetrics & Gynecology Physician
- Plymouth, MA
National Provider Identifier
1164664017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- COASTAL MEDICAL ASSOCIATES, INC.
- Practice address
- 118 Long Pond Rd
Plymouth, MA 02360-2662 - Phone
- (508) 830-3190
- Fax
- (508) 830-3170
- NPI assigned
- Mar 24, 2009
- 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
- Frederick Ayers, M.D.
- Title
- President
- Phone
- (781) 340-4293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
118 Long Pond Rd
Plymouth, MA 02360-2662
Mailing address
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 340-4293
Other names 1
- Atlantic Women's Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
National Provider Directory
National Provider Directory- Tax ID family
- Coastal Medical Associates Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1518548627
-
- Internal Medicine Physician
- Weymouth, MA
- NPI 1609297548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675209600000",
"number": "1164664017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FOGG RD",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021902432",
"telephone_number": "781-340-4293",
"fax_number": "781-340-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 LONG POND RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602662",
"telephone_number": "508-830-3190",
"fax_number": "508-830-3170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-24",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A",
"authorized_official_last_name": "AYERS",
"authorized_official_first_name": "FREDERICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-340-4293",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Atlantic Women's Health",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Atlantic Women's Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.