Organization Active NPI

Concord Primary Care,Inc

  • Internal Medicine Physician
  • Concord, MA
National Provider Identifier
1316003429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
154169 Issued in MA
Legal business name
CONCORD PRIMARY CARE,INC
Practice address
131 Old Road to 9 Acre Cor
Suite 810 JCB
Concord, MA 01742-4181
Phone
(978) 318-0007
Fax
(978) 318-0056
NPI assigned
Jan 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vineeta Joshi, M.D.,NPI 1972614188
Title
Physicain
Phone
(978) 318-0007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 154169 MA Primary

Addresses

Primary practice location

131 Old Road to 9 Acre Cor
Suite 810 JCB
Concord, MA 01742-4181

Mailing address

PO Box 2669
Acton, MA 01720-6669
Phone (978) 318-0007

Other identifiers 14

IdentifierTypeStateIssuer
J18209OtherMABCBS PROVIDER#
137610OtherMATUFTS PROVIDER #
6405OtherMAFALLON PROVIDER #
17782053OtherMATRICARE
M18857OtherMABCBSGROUP #
2033845OtherMAFIRST HEALTH
2115197OtherMAUNITED HEALTH CARE
693861OtherMATUFTS GROUP #
400094OtherMAHPHC
91080OtherMAFALLON GROUP #
1012166OtherMAAETNA PROVIDER #
3168794MedicaidMA
3680770OtherMAAETNA GROUP #
9734601MedicaidMA

National Provider Directory

National Provider Directory

Locations

131 Ornac
Ste 810
Concord, MA 01742
Phone (978) 318-0007

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.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316003429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2669",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017206669",
            "telephone_number": "978-318-0007",
            "fax_number": "978-318-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 810 JCB",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-318-0007",
            "fax_number": "978-318-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD PRIMARY CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "VINEETA",
        "authorized_official_title_or_position": "PHYSICAIN",
        "authorized_official_telephone_number": "978-318-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "154169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER#",
            "identifier": "J18209",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER #",
            "identifier": "137610",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON PROVIDER #",
            "identifier": "6405",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "17782053",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGROUP #",
            "identifier": "M18857",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2033845",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2115197",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP #",
            "identifier": "693861",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "400094",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON GROUP #",
            "identifier": "91080",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "1012166",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3168794",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP #",
            "identifier": "3680770",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9734601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.