Organization Active NPI

Nova Medical Services

  • Internal Medicine Physician
  • Quincy, MA
National Provider Identifier
1336303841
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
82051 Issued in MA
Legal business name
NOVA MEDICAL SERVICES
Practice address
1261 Furnace Brook Pkwy
Suite 22
Quincy, MA 02169-4721
Phone
(617) 479-6333
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Brian Anthony Kenny, M.D.
Title
Medical Director
Phone
(617) 479-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 82051 MA Primary

Addresses

Primary practice location

1261 Furnace Brook Pkwy
Suite 22
Quincy, MA 02169-4721

Mailing address

1261 Furnace Brook Pkwy
Suite 22
Quincy, MA 02169-4721
Phone (617) 479-6333

Other identifiers 1

IdentifierTypeStateIssuer
9787011MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Hey Good Look'N2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1336303841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY",
            "address_2": "SUITE 22",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694721",
            "telephone_number": "617-479-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY",
            "address_2": "SUITE 22",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694721",
            "telephone_number": "617-479-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-479-6333",
        "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": "82051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787011",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.