Organization Active NPI

Grace Niklas

  • Internal Medicine Physician
  • Hingham, MA
National Provider Identifier
1740475508
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GRACE NIKLAS
Practice address
210 Whiting St
Suite 4
Hingham, MA 02043-3724
Phone
(781) 749-6131
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Grace Niklas, MDNPI 1093740599
Title
Owner
Phone
(781) 749-6131

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

210 Whiting St
Suite 4
Hingham, MA 02043-3724

Mailing address

210 Whiting St
Suite 4
Hingham, MA 02043-3724
Phone (781) 749-6131

Other names 1

  • Whiting Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000143 MA Part B Supplier - Clinic/Group Practice 6901987718 Receives reassigned benefits from 1 practitioner
Practice locations: Hingham, MA

National Provider Directory

National Provider Directory

Locations

210 Whiting St
Ste 4
Hingham, MA 02043
Phone (781) 749-6131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1740475508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WHITING ST",
            "address_2": "SUITE 4",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433724",
            "telephone_number": "781-749-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WHITING ST",
            "address_2": "SUITE 4",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433724",
            "telephone_number": "781-749-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE NIKLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "NIKLAS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-749-6131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whiting Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.