Active NPI
Internal Medicine & Cardiology Associates
- Family Medicine Physician
- Fall River, MA
National Provider Identifier
1396731568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INTERNAL MEDICINE & CARDIOLOGY ASSOCIATES
- Practice address
- 1565 N Main St
Suite 306
Fall River, MA 02720-2972 - Phone
- (508) 679-5911
- Fax
- (508) 324-7605
- NPI assigned
- Sep 23, 2005
- Last updated
- Apr 15, 2008
- 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
- Dr. Mark D Gabry, M.D.
- Title
- President
- Phone
- (508) 679-5911
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Interventional Cardiology Physician | 207RI0011X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
1565 N Main St
Suite 306
Fall River, MA 02720-2972
Mailing address
1565 N Main St
Suite 306
Fall River, MA 02720-2972
Phone (508) 679-5911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9707204 | Medicaid | MA |
Other names 1
- INTERNAL MEDICINE & CARDIOLOGY ASS & WESTPORT FAMILY MEDICINE CENTER
National Provider Directory
National Provider DirectoryLocations
39 Faunce Corner Rd
#2
North Dartmouth, MA 02747
Phone (508) 996-3311
161 Chase Rd
Portsmouth, RI 02871
Phone (401) 683-3300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Dartmouth, MA
- NPI 1255318721
-
- General Practice Physician
- Newton, MA
- NPI 1326147869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208217600000",
"number": "1396731568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 N MAIN ST",
"address_2": "SUITE 306",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202972",
"telephone_number": "508-679-5911",
"fax_number": "508-324-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 N MAIN ST",
"address_2": "SUITE 306",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202972",
"telephone_number": "508-679-5911",
"fax_number": "508-324-7605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE & CARDIOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2008-04-15",
"status": "A",
"authorized_official_last_name": "GABRY",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-679-5911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9707204",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "INTERNAL MEDICINE & CARDIOLOGY ASS & WESTPORT FAMILY MEDICINE CENTER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.