NPIMap

Organization Active NPI

Mass General Brigham Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lynn, MA
National Provider Identifier
1326669151
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MASS GENERAL BRIGHAM URGENT CARE LLC
Practice address
480 Lynnfield St Ste 1a
Lynn, MA 01904-1419
Phone
(978) 354-3943
Fax
(978) 354-3954
NPI assigned
May 4, 2020
Organization subpart
Yes
Parent organization
MASS GENERAL BRIGHAM URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Niyum Gandhi
Title
Chief Financial Officer/Treasurer
Phone
(617) 278-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

480 Lynnfield St Ste 1a
Lynn, MA 01904-1419

Mailing address

399 Revolution Dr
Somerville, MA 02145-1444

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
22D2181882Mass General Brigham Urgent Care480 Lynnfield Street, Lynn, MA 01904Certificate of waiverApr 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Mass General Brigham Urgent Care LLC7 organizations share this tax ID, including this one
Part of
Mass General Brigham Urgent Care LLC

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1326669151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 REVOLUTION DR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 LYNNFIELD ST STE 1A",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041419",
            "telephone_number": "978-354-3943",
            "fax_number": "978-354-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS GENERAL BRIGHAM URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASS GENERAL BRIGHAM URGENT CARE LLC",
        "enumeration_date": "2020-05-04",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "NIYUM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER/TREASURER",
        "authorized_official_telephone_number": "617-278-1085"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.