Atlantic Primary Care, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

79640 Issued in MA

Legal business name

ATLANTIC PRIMARY CARE, PC

Practice address

135 Webster St
Hanover, MA 02339-1200

Phone

(781) 871-5030

Fax

(781) 871-5480

NPI assigned

Mar 7, 2006

Last updated

Sep 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nahid B Kennedy, D.O.NPI 1871561597

Title

President

Phone

(781) 871-5030

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Nahid B Kennedy, D.O.

  • Internal Medicine Physician
  • Hanover, MA
  • NPI 1871561597
  Medicare reassignment Authorized official
• Imane Ouahidi, FNP-BC

  • Family Nurse Practitioner
  • North Quincy, MA
  • NPI 1548999600
  Medicare reassignment NPD
• Carissa M Kelly, CNP

  • Adult Health Nurse Practitioner
  • Canton, MA
  • NPI 1821307646
  Medicare reassignment

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1326015454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2302",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023398301",
            "telephone_number": "781-871-5030",
            "fax_number": "781-871-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WEBSTER ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391200",
            "telephone_number": "781-871-5030",
            "fax_number": "781-871-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "NAHID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-871-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "79640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142540",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabelle L Andrei, MS, CCC-SLP
• Kevin E Anger, PHARMD
• Anne M Thompson LLC
• Aaron Russell Arkin, DMD
• Adrien Asaff, LMHC
• Dominique Marie Atwood, FNP-C
• Susan J Avedissian
• Samantha Lee Babineau
• Victoria Leigh Baczek, PHARM.D.
• Maureen Baker

• Primary Care Clinic/Center in Hanover, MA
• Providers in Hanover, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.