Individual provider Active NPI

Pansy Siu-Lai, MD

  • Family Medicine Physician
  • Malden, MA
National Provider Identifier
1376532721
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80466 Issued in MA
Practice address
578 Main St
Hallmark Health Medical Associates Inc
Malden, MA 02148-3900
Phone
(781) 321-3422
Fax
(781) 321-1863
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80466 MA Primary

Addresses

Primary practice location

578 Main St
Hallmark Health Medical Associates Inc
Malden, MA 02148-3900

Mailing address

578 Main St
Hallmark Health Medical Associates Inc
Malden, MA 02148-3900
Phone (781) 321-3422

Other identifiers 1

IdentifierTypeStateIssuer
3141969MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1376532721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 MAIN ST",
            "address_2": "HALLMARK HEALTH MEDICAL ASSOCIATES INC",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483900",
            "telephone_number": "781-321-3422",
            "fax_number": "781-321-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 MAIN ST",
            "address_2": "HALLMARK HEALTH MEDICAL ASSOCIATES INC",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483900",
            "telephone_number": "781-321-3422",
            "fax_number": "781-321-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIU-LAI",
        "first_name": "PANSY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "80466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3141969",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.