NPIMap

Organization Active NPI

East Gulf Partners PA

  • Case Manager/Care Coordinator
  • Cambridge, MA
National Provider Identifier
1669343984
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
EAST GULF PARTNERS PA
Practice address
8 Kinnaird St
Cambridge, MA 02139-3733
Phone
(857) 367-8074
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Roy Perlis, MDNPI 1285653287
Title
President
Phone
(857) 321-9357

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

8 Kinnaird St
Cambridge, MA 02139-3733

Mailing address

955 Massachusetts Ave Ste 158
Cambridge, MA 02139-3180
Phone (857) 367-8074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251104002317 FL Part B Supplier - Clinic/Group Practice 3577053008 Receives reassigned benefits from 7 practitioners
Practice locations: Royal Palm Beach, FL; Plantation, FL; Miami, FL; Pembroke Pines, FL; Melbourne, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1669343984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MASSACHUSETTS AVE STE 158",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393180",
            "telephone_number": "857-367-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KINNAIRD ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393733",
            "telephone_number": "857-367-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GULF PARTNERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "PERLIS",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-321-9357",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.