Active NPI
Urgent Care Medical Associates of Massachusetts, LLC
- Urgent Care Clinic/Center
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- URGENT CARE MEDICAL ASSOCIATES OF MASSACHUSETTS, LLC
- Practice address
- 1340 Belmont St
Brockton, MA 02301-4404 - Phone
- (860) 650-3848
- NPI assigned
- Oct 18, 2023
- Last updated
- Mar 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeannie M Kenkare, DO
- Title
- President
- Phone
- (203) 616-4440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1340 Belmont St
Brockton, MA 02301-4404
Mailing address
PO Box 1339
Glastonbury, CT 06033-6339
Phone (860) 430-1246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0663933 | Urgent Care Medical Associates of Massachusetts | Certificate of waiver | Feb 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
228 Washington St
Ste A120
Attleboro, MA 02703
1210 Boylston St
Chestnut Hill, MA 02467
Phone (617) 608-3215
Practitioners & affiliated clinicians
Practitioners 36
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Norwell, MA
- NPI 1750881371
-
- Medical Physician Assistant
- Chestnut Hill, MA
- NPI 1245592799
-
- Medical Physician Assistant
- Chestnut Hill, MA
- NPI 1720607534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741910400000",
"number": "1659153203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1339",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060336339",
"telephone_number": "860-430-1246",
"fax_number": "860-656-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 BELMONT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014404",
"telephone_number": "860-650-3848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URGENT CARE MEDICAL ASSOCIATES OF MASSACHUSETTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-18",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A",
"authorized_official_last_name": "KENKARE",
"authorized_official_first_name": "JEANNIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-616-4440",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.