NPIMap

Organization Active NPI

PJM Inc

  • Clinic/Center
  • Milton, MA
National Provider Identifier
1609209402
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PJM INC
Practice address
364 Granite Ave
Milton, MA 02186-5025
Phone
(617) 698-0260
Fax
(617) 698-6162
NPI assigned
Aug 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Mr. Paul J Maduri
Title
President
Phone
(617) 698-0260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

364 Granite Ave
Milton, MA 02186-5025

Mailing address

364 Granite Ave
Milton, MA 02186-5025
Phone (617) 698-0260

Other identifiers 2

IdentifierTypeStateIssuer
3015OtherMALDN
2449OtherMALDN

Other names 1

  • Fitness Unlimited Doing business as

National Provider Directory

National Provider Directory

Locations

364 Granite Ave
Milton, MA 02186
Phone (617) 698-0260

Practitioners & affiliated clinicians

Practitioners 4

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": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1609209402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 GRANITE AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865025",
            "telephone_number": "617-698-0260",
            "fax_number": "617-698-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 GRANITE AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865025",
            "telephone_number": "617-698-0260",
            "fax_number": "617-698-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "MADURI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-698-0260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LDN",
            "identifier": "3015",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LDN",
            "identifier": "2449",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitness Unlimited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 2013; 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.