617 Primary Care PLLC
Organization Active NPI Family Medicine Physician · Cambridge, MA
NPI 1629925425 · NPPES record last updated Mar 12, 2026
Key facts
- NPI
- 1629925425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- 617 PRIMARY CARE PLLC
- Practice address
- 777 Concord Ave Ste 105
Cambridge, MA 02138-1053 - Phone
- (617) 675-4085
- Fax
- (617) 360-3163
- NPI assigned
- Mar 12, 2026
- Organization subpart
- No
Authorized official
- Name
- Paulius Mui, MD
- Title
- Owner
- Phone
- (617) 840-6340
Practitioners 1
-
Paulius Mui, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2341541 | 617 Primary Care PLLC | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
777 Concord Ave Ste 105
Cambridge, MA 02138-1053
Mailing address
777 Concord Ave Ste 105
Cambridge, MA 02138-1053
Phone (617) 675-4085
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.