Organization Active NPI

South Shore Primary and Urgent Care LLC

  • Internal Medicine Physician
  • Hanover, MA
National Provider Identifier
1508217563
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTH SHORE PRIMARY AND URGENT CARE LLC
Practice address
20 East St
Suite 5
Hanover, MA 02339-1638
Phone
(781) 561-0460
Fax
(781) 987-8102
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Sherifat Hinchey, MD
Title
Owner
Phone
(781) 561-0460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

20 East St
Suite 5
Hanover, MA 02339-1638

Mailing address

20 East St
Suite 5
Hanover, MA 02339-1638
Phone (781) 561-0460

National Provider Directory

National Provider Directory

Locations

20 East St
Ste 5
Hanover, MA 02339
Phone (774) 434-1916

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1508217563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EAST ST",
            "address_2": "SUITE 5",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391638",
            "telephone_number": "781-561-0460",
            "fax_number": "781-987-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST ST",
            "address_2": "SUITE 5",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391638",
            "telephone_number": "781-561-0460",
            "fax_number": "781-987-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PRIMARY AND URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "HINCHEY",
        "authorized_official_first_name": "SHERIFAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-561-0460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.