Organization Active NPI

Urgent Care Medical Associates of Massachusetts, LLC

  • Urgent Care Clinic/Center
  • Brockton, MA
National Provider Identifier
1659153203
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Jeannie M Kenkare, DONPI 1245203231
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20231114001776 MA Part B Supplier - Clinic/Group Practice 8820445760 Receives reassigned benefits from 24 practitioners
Practice locations: Brockton, MA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0663933Urgent Care Medical Associates of Massachusetts1340 Belmont St, Brockton, MA 02301Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

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.

View all 36

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.

Verify at the official NPI Registry.