NPIMap

Organization Active NPI

Harbor Medical Associates P.C.

Doing business as Physician Diagnostics

  • Sleep Disorder Diagnostic Clinic/Center
  • South Weymouth, MA
National Provider Identifier
1750588380
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
216613 Issued in MA
Legal business name
HARBOR MEDICAL ASSOCIATES P.C.
Doing business as
Physician Diagnostics
Practice address
541 Main St
Suite 314
South Weymouth, MA 02190-1868
Phone
(781) 952-1460
NPI assigned
Jun 28, 2007
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HARBOR MEDICAL ASSOCIATES P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Matthew Weiss, MD
Title
Medical Director
Phone
(781) 952-1460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 216613 MA Primary

Addresses

Primary practice location

541 Main St
Suite 314
South Weymouth, MA 02190-1868

Mailing address

541 Main St
Suite 314
South Weymouth, MA 02190-1868
Phone (781) 952-1460

Other identifiers 2

IdentifierTypeStateIssuer
637705OtherMATUFTS HEALTH PLAN
SF044069OtherMABLUE CROSS

Other names 1

  • Physician Diagnostics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harbor Medical Assocs3 organizations share this tax ID, including this one
Part of
Harbor Medical Assocs

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1750588380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 314",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-952-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 314",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-952-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR MEDICAL ASSOCIATES P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBOR MEDICAL ASSOCIATES P.C.",
        "enumeration_date": "2007-06-28",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "781-952-1460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MA",
            "license": "216613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "637705",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "SF044069",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.