NPIMap

Organization Active NPI

Personalized Preventive Medicine Inc

  • Medical Specialty Clinic/Center
  • Milton, MA
National Provider Identifier
1447584859
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
44038 Issued in MA
Legal business name
PERSONALIZED PREVENTIVE MEDICINE INC
Practice address
2 Reedsdale Rd
Milton, MA 02186-3324
Phone
(617) 698-0715
Fax
(617) 698-7559
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. Richard M Delany, M.D.NPI 1003868605
Title
M.D., F.a.C.C
Phone
(617) 698-0715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 44038 MA Primary

Addresses

Primary practice location

2 Reedsdale Rd
Milton, MA 02186-3324

Mailing address

2 Reedsdale Rd
Milton, MA 02186-3324
Phone (617) 698-0715

Other identifiers 2

IdentifierTypeStateIssuer
BB97278OtherMABB UPIN
C15079OtherMABCBS

National Provider Directory

National Provider Directory

Locations

2 Reedsdale Rd
Milton, MA 02186
Phone (617) 696-0700

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.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1447584859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 REEDSDALE RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863324",
            "telephone_number": "617-698-0715",
            "fax_number": "617-698-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 REEDSDALE RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863324",
            "telephone_number": "617-698-0715",
            "fax_number": "617-698-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED PREVENTIVE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "DELANY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D., F.A.C.C",
        "authorized_official_telephone_number": "617-698-0715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "44038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BB UPIN",
            "identifier": "BB97278",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C15079",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.