NPIMap

Organization Active NPI

Prima Care, PC

Doing business as Prima CARE Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Somerset, MA
National Provider Identifier
1285956045
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PRIMA CARE, PC
Doing business as
Prima CARE Sleep Center
Practice address
67 Grand Army Hwy
Somerset, MA 02726-1220
Phone
(508) 675-7090
Fax
(508) 675-7053
NPI assigned
Feb 22, 2010
Last updated
Apr 11, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIMA CARE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Richard Mateus
Title
Chief Executive Officer
Phone
(508) 676-3292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

67 Grand Army Hwy
Somerset, MA 02726-1220

Mailing address

PO Box 1070
Fall River, MA 02722-1070
Phone (508) 676-3292

Other names 1

  • Prima CARE Sleep Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101215000565 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2567356017 Practice locations: Somerset, MA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Prima Care9 organizations share this tax ID, including this one
Part of
Prima Care

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1285956045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1070",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027221070",
            "telephone_number": "508-676-3292",
            "fax_number": "508-673-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 GRAND ARMY HWY",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027261220",
            "telephone_number": "508-675-7090",
            "fax_number": "508-675-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA CARE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMA CARE, PC",
        "enumeration_date": "2010-02-22",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "MATEUS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "508-676-3292"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prima CARE Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.