Active NPI
Middlesex Internal Medicine Associates, Inc.
- Cardiovascular Disease Physician
- Marlborough, MA
National Provider Identifier
1265601033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 32745
- Legal business name
- MIDDLESEX INTERNAL MEDICINE ASSOCIATES, INC.
- Practice address
- 28 Lord Rd
Suite 255
Marlborough, MA 01752-4548 - Phone
- (508) 485-7660
- Fax
- (508) 481-4540
- NPI assigned
- Feb 26, 2008
- 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
- Dr. Robert Charles Sumner, MD
- Title
- President
- Phone
- (508) 485-7660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 32745 | MA | Primary |
Addresses
Primary practice location
28 Lord Rd
Suite 255
Marlborough, MA 01752-4548
Mailing address
28 Lord Rd
Suite 255
Marlborough, MA 01752-4548
Phone (508) 485-7660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M15558 | Other | MA | BLUE CROSS BLUE SHIELD |
| 9768246 | Medicaid | MA | |
| 600427 | Other | MA | TUFTS HEALTHPLAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1265601033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 LORD RD",
"address_2": "SUITE 255",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017524548",
"telephone_number": "508-485-7660",
"fax_number": "508-481-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 LORD RD",
"address_2": "SUITE 255",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017524548",
"telephone_number": "508-485-7660",
"fax_number": "508-481-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLESEX INTERNAL MEDICINE ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SUMNER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-485-7660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "32745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M15558",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9768246",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTHPLAN",
"identifier": "600427",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.