Medexpress Primary Care Massachusetts, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C.

Practice address

25 Research Dr
Westborough, MA 01581-3680

Phone

(774) 512-7899

Fax

(508) 870-3130

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Brett Gall

Title

Director Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 2

Addresses

Other names 1

• BJ's Wholesale - Westborough Doing business as

Tax ID family

BJ'S Wholesale - Westborough3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Medexpress Primary Care Massachusetts, P.C.

  • General Practice Physician
  • Milford, MA
  • NPI 1093219438
  NPD tax ID
• Medexpress Primary Care Massachusetts, P.C.

  • Family Medicine Physician
  • Boston, MA
  • NPI 1578099404
  NPD tax ID

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1407409659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONSOL ENERGY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153176506",
            "telephone_number": "304-225-2500",
            "fax_number": "724-743-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RESEARCH DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813680",
            "telephone_number": "774-512-7899",
            "fax_number": "508-870-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "GALL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "DIRECTOR PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BJ's Wholesale - Westborough",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie McLucas
• John P. McMahon, LCSW
• Dana Robert McMaster, D.M.D.
• Kevin Emmett McNamara, RPH
• Judith A McNicholas, MD
• Jennifer Megna, RPH
• Kalindi J Mehta, M.D.
• Daniel J Meininger, D.C.
• George A. Mele
• Cesar Melendez-Villegas, PSY.D

• General Practice Physician in Westborough, MA
• Providers in Westborough, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.