Organization Active NPI

Royal Care Medical Center Inc

  • Internal Medicine Physician
  • Lowell, MA
National Provider Identifier
1356642862
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
158773 Issued in MA
Legal business name
ROYAL CARE MEDICAL CENTER INC
Practice address
151 Warren St
Lowell, MA 01852-2647
Phone
(978) 429-6300
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Adam Gladstone
Title
Ceo
Phone
(443) 743-5919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 158773 MA Primary

Addresses

Primary practice location

151 Warren St
Lowell, MA 01852-2647

Mailing address

151 Warren St
Lowell, MA 01852-2647
Phone (978) 429-6300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1356642862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WARREN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522647",
            "telephone_number": "978-429-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WARREN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522647",
            "telephone_number": "978-429-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "GLADSTONE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-743-5919"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "158773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.