Organization Active NPI

Circle of Life Family Medicine PC

  • Primary Care Clinic/Center
  • Norwell, MA
National Provider Identifier
1336388453
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
229762 Issued in MA
Legal business name
CIRCLE OF LIFE FAMILY MEDICINE PC
Practice address
75 Washington St Ste 205
Norwell, MA 02061-1795
Phone
(339) 469-2707
Fax
(339) 469-2710
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Dr. Jennifer Marie Pichay, DONPI 1346217478
Title
Treasurer/VP
Phone
(339) 469-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 229765 MA
Primary Care Clinic/Center 261QP2300X 229762 MA Primary

Addresses

Primary practice location

75 Washington St Ste 205
Norwell, MA 02061-1795

Mailing address

75 Washington St Ste 205
Norwell, MA 02061-1795
Phone (339) 469-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090508000063 MA Part B Supplier - Clinic/Group Practice 4587712112 Receives reassigned benefits from 2 practitioners
Practice locations: Norwell, MA

National Provider Directory

National Provider Directory
Tax ID family
Circle of Life Family2 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.

Locations

75 Washington St
Ste 205
Norwell, MA 02061
Phone (336) 469-2707

167 Washington St
Ste 4243
Norwell, MA 02061

75 Washington St
Ste 200
Norwell, MA 02061
Phone (781) 878-6495

427B Washington St
Norwell, MA 02061
Phone (781) 659-3443

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1336388453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST STE 205",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611795",
            "telephone_number": "339-469-2707",
            "fax_number": "339-469-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST STE 205",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611795",
            "telephone_number": "339-469-2707",
            "fax_number": "339-469-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "PICHAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "TREASURER/VP",
        "authorized_official_telephone_number": "339-469-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "229765",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "229762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.