Organization Active NPI

Primary Cardiology of Attleboro, Inc.

  • Cardiovascular Disease Physician
  • Attleboro, MA
National Provider Identifier
1205893955
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PRIMARY CARDIOLOGY OF ATTLEBORO, INC.
Practice address
150 Emory St
Attleboro, MA 02703-2439
Phone
(508) 699-3079
Fax
(508) 809-9552
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Randal B Kaufman, MDNPI 1558328419
Title
Owner
Phone
(508) 699-1025

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
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

150 Emory St
Attleboro, MA 02703-2439

Mailing address

75 Newman Ave
Suite 100
Rumford, RI 02916-3603
Phone (401) 453-0666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331000808 MA Part B Supplier - Clinic/Group Practice 8921055005 Receives reassigned benefits from 1 practitioner
Practice locations: Attleboro, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1205893955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NEWMAN AVE",
            "address_2": "SUITE 100",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029163603",
            "telephone_number": "401-453-0666",
            "fax_number": "401-435-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EMORY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032439",
            "telephone_number": "508-699-3079",
            "fax_number": "508-809-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARDIOLOGY OF ATTLEBORO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-699-1025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.