Persivia Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PERSIVIA CARE, LLC

Doing business as

Persivia Care, LLC

Practice address

4 Mount Royal Ave Ste 400
Marlborough, MA 01752-1961

Phone

(978) 856-4504

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Ammar Afif

Title

Director

Phone

(978) 856-4504

Specialties & licenses 1

Addresses

Other names 1

• Persivia Care, LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1770169534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MOUNT ROYAL AVE STE 400",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521961",
            "telephone_number": "978-856-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MOUNT ROYAL AVE STE 400",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521961",
            "telephone_number": "978-856-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSIVIA CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "AFIF",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "978-856-4504"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Persivia",
            "affiliation": "N",
            "address_1": "4 Mount Royal Ave Ste 400",
            "city": "Marlborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017521961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Persivia Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Persivia Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perfect Piece
• Monique Lee Perreault
• Kativa Tarie Perry-Mock
• Betty Perry
• Christine Perry, LMHC
• Trinity Pervier
• Peter J Miotto
• Kassidy L Peters
• Soleil I Peters
• Victoria Osk Petersen

• Internal Medicine Physician in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.