Organization Active NPI

Northstar Medical Associates LLC

  • Pulmonary Disease Physician
  • Quincy, MA
National Provider Identifier
1356573349
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
NORTHSTAR MEDICAL ASSOCIATES LLC
Practice address
40 Willard St
Suite 103
Quincy, MA 02169-1252
Phone
(617) 471-0011
Fax
(617) 481-1284
NPI assigned
Aug 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Dr. Nasir Alam Bhatti, MDNPI 1326012576
Title
Manager/Member
Phone
(857) 247-8538

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary
Primary Care Clinic/Center 261QP2300X 215383 MA

Addresses

Primary practice location

40 Willard St
Suite 103
Quincy, MA 02169-1252

Mailing address

40 Willard St
Suite 103
Quincy, MA 02169-1252
Phone (617) 471-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000010 MA Part B Supplier - Clinic/Group Practice 2365634987 Receives reassigned benefits from 1 practitioner
Practice locations: Quincy, MA

National Provider Directory

National Provider Directory

Locations

40 Willard St
Ste 103
Quincy, MA 02169
Phone (617) 471-0011

Practitioners & affiliated clinicians

Practitioners 3

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": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1356573349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WILLARD ST",
            "address_2": "SUITE 103",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691252",
            "telephone_number": "617-471-0011",
            "fax_number": "617-481-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WILLARD ST",
            "address_2": "SUITE 103",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691252",
            "telephone_number": "617-471-0011",
            "fax_number": "617-481-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "BHATTI",
        "authorized_official_first_name": "NASIR",
        "authorized_official_middle_name": "ALAM",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "857-247-8538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "215383",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 29, 2017; 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.