NPIMap

Organization Active NPI

At Care, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Carlisle, MA
National Provider Identifier
1548640105
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
158433 Issued in MA
Legal business name
AT CARE, PLLC
Practice address
907 East St
Carlisle, MA 01741-1214
Phone
(978) 610-6331
Fax
(978) 369-7800
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Abrar Ahmad
Title
Manager
Phone
(978) 610-6331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 158433 MA Primary

Addresses

Primary practice location

907 East St
Carlisle, MA 01741-1214

Mailing address

907 East St
Carlisle, MA 01741-1214
Phone (978) 610-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150821013353 MA Part B Supplier - Clinic/Group Practice 1658686555 Receives reassigned benefits from 8 practitioners
Practice locations: Carlisle, MA; Woburn, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1548640105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 EAST ST",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411214",
            "telephone_number": "978-610-6331",
            "fax_number": "978-369-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 EAST ST",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411214",
            "telephone_number": "978-610-6331",
            "fax_number": "978-369-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ABRAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-610-6331"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "158433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.

Verify at the official NPI Registry.