Active NPI
Principes Medical Group, PLLC
- Internal Medicine Physician
- West Bridgewater, MA
National Provider Identifier
1386033264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PRINCIPES MEDICAL GROUP, PLLC
- Practice address
- 35 United Dr Ste 102
West Bridgewater, MA 02379 - Phone
- (508) 238-8646
- NPI assigned
- Jan 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Essam Ansari, M.D.
- Title
- President
- Phone
- (508) 238-8646
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
35 United Dr Ste 102
West Bridgewater, MA 02379
Mailing address
35 United Dr Ste 102
West Bridgewater, MA 02379-1027
Phone (508) 238-8646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Methuen, MA
- NPI 1992812572
-
- Family Nurse Practitioner
- Boston, MA
- NPI 1205266962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531699200000",
"number": "1386033264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 UNITED DR STE 102",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791027",
"telephone_number": "508-238-8646",
"fax_number": "508-230-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 UNITED DR STE 102",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "02379",
"telephone_number": "508-238-8646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCIPES MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-15",
"last_updated": "2018-07-16",
"status": "A",
"authorized_official_last_name": "ANSARI",
"authorized_official_first_name": "ESSAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-238-8646",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.