Organization Active NPI

Mattapan Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Mattapan, MA
National Provider Identifier
1215119003
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MATTAPAN MEDICAL ASSOCIATES INC
Practice address
1537 Blue Hill Ave
Mattapan, MA 02126-2103
Phone
(617) 296-3500
Fax
(617) 296-5608
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Nasir Alam BhattiNPI 1326012576
Title
MD
Phone
(617) 296-3500

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1537 Blue Hill Ave
Mattapan, MA 02126-2103

Mailing address

1537 Blue Hill Ave
Mattapan, MA 02126-2103
Phone (617) 296-3500

National Provider Directory

National Provider Directory

Locations

1537 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 296-3500

Practitioners & affiliated clinicians

Practitioners 2

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1215119003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262103",
            "telephone_number": "617-296-3500",
            "fax_number": "617-296-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262103",
            "telephone_number": "617-296-3500",
            "fax_number": "617-296-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTAPAN MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BHATTI",
        "authorized_official_first_name": "NASIR",
        "authorized_official_middle_name": "ALAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "617-296-3500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.