NPIMap

Organization Active NPI

Priority Professional Care, LLC

  • Clinic/Center
  • Dorchester, MA
National Provider Identifier
1346486529
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4WMC Issued in MA
Legal business name
PRIORITY PROFESSIONAL CARE, LLC
Practice address
51 Neponset Ave
Dorchester, MA 02122-3321
Phone
(617) 368-0820
Fax
(857) 598-4816
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Marie Rose Canton, NPNPI 1609018837
Title
Ceo
Phone
(617) 368-0820

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4WMC MA Primary

Addresses

Primary practice location

51 Neponset Ave
Dorchester, MA 02122-3321

Mailing address

51 Neponset Ave
Dorchester, MA 02122-3321
Phone (617) 368-0820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090714000480 MA Part B Supplier - Clinic/Group Practice 4688726169 Receives reassigned benefits from 3 practitioners
Practice locations: Dorchester, MA

National Provider Directory

National Provider Directory

Locations

51 Neponset Ave
Dorchester, MA 02122
Phone (617) 368-0820

Practitioners & affiliated clinicians

Practitioners 11

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": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1346486529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NEPONSET AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223321",
            "telephone_number": "617-368-0820",
            "fax_number": "857-598-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 NEPONSET AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223321",
            "telephone_number": "617-368-0820",
            "fax_number": "857-598-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY PROFESSIONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "CANTON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-368-0820",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "4WMC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.