Organization Active NPI

New England Primary Care Associates P.C.

  • Family Medicine Physician
  • Lawrence, MA
National Provider Identifier
1295013191
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW ENGLAND PRIMARY CARE ASSOCIATES P.C.
Practice address
280 Merrimack St Ste 103
Lawrence, MA 01843-1780
Phone
(978) 685-2455
Fax
(978) 685-2459
NPI assigned
Jul 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Rami Rustum, M.DNPI 1881694180
Title
President
Phone
(978) 685-2455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

280 Merrimack St Ste 103
Lawrence, MA 01843-1780

Mailing address

280 Merrimack St Ste 103
Lawrence, MA 01843-1780
Phone (978) 685-2455

Other practice location 1

50 Prospect St
suite 101
Lawrence, MA 01841-2841
Phone (978) 685-2455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000554 MA Part B Supplier - Clinic/Group Practice 6800063504 Receives reassigned benefits from 1 practitioner
Practice locations: Methuen, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2044287New England Primary Care Associates280 Merrimack St Ste 103, Lawrence, MA 01843Certificate of waiverJul 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1295013191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK ST STE 103",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431780",
            "telephone_number": "978-685-2455",
            "fax_number": "978-685-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK ST STE 103",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431780",
            "telephone_number": "978-685-2455",
            "fax_number": "978-685-2459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Prospect St",
            "address_2": "suite 101",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018412841",
            "country_code": "US",
            "telephone_number": "978-685-2455",
            "fax_number": "978-685-2459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW ENGLAND PRIMARY CARE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "RUSTUM",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-685-2455",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.