NPIMap

Organization Active NPI

Metro Medical Associates ,PC

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1649422791
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
73428 Issued in MA
Legal business name
METRO MEDICAL ASSOCIATES ,PC
Practice address
390 Main St
Suite 509
Worcester, MA 01608-2583
Phone
(508) 753-4151
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Kunle Fajana, MD
Title
Ceo
Phone
(508) 753-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 73428 MA Primary

Addresses

Primary practice location

390 Main St
Suite 509
Worcester, MA 01608-2583

Mailing address

390 Main St
Suite 509
Worcester, MA 01608-2583
Phone (508) 753-4151

National Provider Directory

National Provider Directory
Tax ID family
Metro Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GECHCA

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1649422791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAIN ST",
            "address_2": "SUITE 509",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082583",
            "telephone_number": "508-753-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MAIN ST",
            "address_2": "SUITE 509",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082583",
            "telephone_number": "508-753-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL ASSOCIATES ,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "FAJANA",
        "authorized_official_first_name": "KUNLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-753-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "73428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.