Organization Active NPI

Blue Hills Medical Associates

  • Internal Medicine Physician
  • Braintree, MA
National Provider Identifier
1215502414
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BLUE HILLS MEDICAL ASSOCIATES
Practice address
340 Wood Rd Ste 203
Braintree, MA 02184-2418
Phone
(781) 849-1111
Fax
(781) 794-2280
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Pooja Singh
Title
Practice Manager
Phone
(781) 849-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

340 Wood Rd Ste 203
Braintree, MA 02184-2418

Mailing address

340 Wood Rd Ste 203
Braintree, MA 02184-2418
Phone (781) 849-1111

National Provider Directory

National Provider Directory
Tax ID family
Blue Hills Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

340 Wood Rd
Ste 203
Braintree, MA 02184
Phone (781) 849-1111

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1215502414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WOOD RD STE 203",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842418",
            "telephone_number": "781-849-1111",
            "fax_number": "781-794-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WOOD RD STE 203",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842418",
            "telephone_number": "781-849-1111",
            "fax_number": "781-794-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILLS MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "781-849-1111"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.