Organization Active NPI

360 Primary Care LLC

  • Internal Medicine Physician
  • Wilmington, MA
National Provider Identifier
1780522136
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
360 PRIMARY CARE LLC
Practice address
234 Main St
Wilmington, MA 01887-2341
Phone
(978) 909-4966
Fax
(978) 267-4189
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Faisal T Malik, MD
Title
Ceo/ Owner
Phone
(978) 909-4966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

234 Main St
Wilmington, MA 01887-2341

Mailing address

234 Main St
Wilmington, MA 01887-2341
Phone (978) 909-4966

Other practice location 1

232 S Main St
Middleton, MA 01949-3305
Phone (978) 909-4482

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1780522136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872341",
            "telephone_number": "978-909-4966",
            "fax_number": "978-267-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872341",
            "telephone_number": "978-909-4966",
            "fax_number": "978-267-4189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 S Main St",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "MA",
            "postal_code": "019493305",
            "country_code": "US",
            "telephone_number": "978-909-4482",
            "fax_number": "978-909-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "360 PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "978-909-4966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.