Active NPI
Bay State Medical Associates, PC
- Addiction Medicine (Psychiatry & Neurology) Physician
- Brockton, MA
National Provider Identifier
1255749289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- Legal business name
- BAY STATE MEDICAL ASSOCIATES, PC
- Practice address
- 1717 Main St
Brockton, MA 02301-7134 - Phone
- (508) 857-1466
- Fax
- (508) 857-1725
- NPI assigned
- Jul 22, 2014
- Last updated
- Jul 22, 2014
- 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
- Mr. Arnak Khachatryan
- Title
- Administrative Manager
- Phone
- (508) 857-1466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | NU | Primary |
Addresses
Primary practice location
1717 Main St
Brockton, MA 02301-7134
Mailing address
1717 Main St
Brockton, MA 02301-7134
Phone (508) 857-1466
National Provider Directory
National Provider Directory- Tax ID family
- Bay State Medical Associates PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Service Clinic/Center
- Brockton, MA
- NPI 1144460478
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Fall River, MA
- NPI 1497799480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405987200000",
"number": "1255749289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023017134",
"telephone_number": "508-857-1466",
"fax_number": "508-857-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023017134",
"telephone_number": "508-857-1466",
"fax_number": "508-857-1725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY STATE MEDICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A",
"authorized_official_last_name": "KHACHATRYAN",
"authorized_official_first_name": "ARNAK",
"authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
"authorized_official_telephone_number": "508-857-1466",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
- Tricia Mary Battersby
- Rachel Moloney Bauer
- Amy Wisteria Baughman, M.D.
- Quratulain Iqbal Bawaney, MD
- Bay State Counseling Services, Inc.
- Bay State Medical Equipment Distributors
- Bay State Physical Therapy of Randolph Inc (Bay State Physical Therapy)
- Judith Ann Bayog, PH.D.
- Baypointe Nursing Home Inc (Baypointe Rehab & Skilled Care Center)
- Baypointe Nursing Home Inc (Baypointe Rehabilitation & Skilled Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.