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

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2341541617 Primary Care PLLC
777 Concord Ave, Cambridge, MA 02138
Certificate of waiverApr 2, 2028

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

Other providers in Cambridge, MA

All providers in Cambridge, MA · Family Medicine Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.