NPIMap

Organization Active NPI

Plymouth Carver Primary Care, P.C.

  • Gastroenterology Physician
  • Plymouth, MA
National Provider Identifier
1285761619
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
76027 Issued in MA
Legal business name
PLYMOUTH CARVER PRIMARY CARE, P.C.
Practice address
110 Long Pond Rd
Suite 212
Plymouth, MA 02360-2642
Phone
(508) 746-7272
NPI assigned
Feb 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Janice E Aiello
Title
Practice Manager
Phone
(508) 746-7272

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 182208 MA
Adult Health Nurse Practitioner 363LA2200X 143121 MA
Family Medicine Physician 207Q00000X 226393 MA
Cardiovascular Disease Physician 207RC0000X 47038 MA
Cardiovascular Disease Physician 207RC0000X 220157 MA
Cardiovascular Disease Physician 207RC0000X 29307 MA
Gastroenterology Physician 207RG0100X 76027 MA Primary

Addresses

Primary practice location

110 Long Pond Rd
Suite 212
Plymouth, MA 02360-2642

Mailing address

110 Long Pond Rd
Suite 212
Plymouth, MA 02360-2642
Phone (508) 746-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127000931 MA Part B Supplier - Clinic/Group Practice 3173573037 Receives reassigned benefits from 14 practitioners
Practice locations: Plymouth, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285761619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LONG POND RD",
            "address_2": "SUITE 212",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602642",
            "telephone_number": "508-746-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONG POND RD",
            "address_2": "SUITE 212",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602642",
            "telephone_number": "508-746-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH CARVER PRIMARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AIELLO",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "508-746-7272"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "182208",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "143121",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "226393",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "47038",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "220157",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "29307",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "76027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.