Organization Active NPI

Quincy Primary Healthcare PC

  • Clinic/Center
  • Quincy, MA
National Provider Identifier
1720597537
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
QUINCY PRIMARY HEALTHCARE PC
Practice address
300 Congress St Ste 203
Quincy, MA 02169-0907
Phone
(617) 481-1771
NPI assigned
Sep 25, 2017
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Yan Tan, MDNPI 1275819179
Title
President
Phone
(347) 429-2722

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

300 Congress St Ste 203
Quincy, MA 02169-0907

Mailing address

300 Congress St Ste 203
Quincy, MA 02169-0907
Phone (617) 481-1771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171107000564 MA Part B Supplier - Clinic/Group Practice 4183980220 Receives reassigned benefits from 1 practitioner
Practice locations: Quincy, 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
22D2343879Quincy Primary Healthcare PC300 Congress St, Quincy, MA 02169Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory

Locations

300 Congress St
Ste 203
Quincy, MA 02169
Phone (617) 481-1771

Practitioners & affiliated clinicians

Practitioners 4

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": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1720597537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST STE 203",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-481-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST STE 203",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-481-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY PRIMARY HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-429-2722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.