NPIMap

Organization Active NPI

Professional Medical Associates, P.C.

  • Nephrology Physician
  • Jamaica Plain, MA
National Provider Identifier
1336357805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
38918 Issued in MA
Legal business name
PROFESSIONAL MEDICAL ASSOCIATES, P.C.
Practice address
1155 Centre St
Suite 5985
Jamaica Plain, MA 02130-3432
Phone
(617) 524-4431
Fax
(617) 983-7533
NPI assigned
May 18, 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. David Harry Cahan, M.D.NPI 1396814414
Title
Partner
Phone
(617) 524-4431

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
Nephrology Physician 207RN0300X 38918 MA Primary

Addresses

Primary practice location

1155 Centre St
Suite 5985
Jamaica Plain, MA 02130-3432

Mailing address

1155 Centre St
Suite 5985
Jamaica Plain, MA 02130-3432
Phone (617) 524-4431

Other identifiers 3

IdentifierTypeStateIssuer
10006OtherMAHARVARD PILGRIM
2060507MedicaidMA
038918OtherMATUFTS

National Provider Directory

National Provider Directory

Locations

1155 Centre St
#5985
Jamaica Plain, MA 02130
Phone (617) 524-4431

1155 Centre St
Ste 5985
Jamaica Plain, MA 02130
Phone (617) 524-4431

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336357805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CENTRE ST",
            "address_2": "SUITE 5985",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303432",
            "telephone_number": "617-524-4431",
            "fax_number": "617-983-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CENTRE ST",
            "address_2": "SUITE 5985",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303432",
            "telephone_number": "617-524-4431",
            "fax_number": "617-983-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAHAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "617-524-4431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "38918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "10006",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2060507",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "038918",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, 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.