Active NPI
Family Practice Group PC
- Family Medicine Physician
- Arlington, MA
National Provider Identifier
1801953849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY PRACTICE GROUP PC
- Practice address
- 11 Water St
Suite 1a
Arlington, MA 02476-4812 - Phone
- (781) 648-9700
- Fax
- (781) 648-0234
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Hillery
- Title
- Administrator
- Phone
- (781) 648-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
11 Water St
Suite 1a
Arlington, MA 02476-4812
Mailing address
11 Water St
Suite 1a
Arlington, MA 02476-4812
Phone (781) 648-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9711635 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0698550 | Family Practice Group PC | Provider-performed microscopy | Oct 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
11 Water St
Ste 1A
Arlington, MA 02476
Phone (781) 648-9700
Practitioners & affiliated clinicians
Practitioners 17
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.
-
- Family Medicine Physician
- Arlington, MA
- NPI 1568463479
-
- Family Medicine Physician
- Somerville, MA
- NPI 1548607112
-
- Student in an Organized Health Care Education/Training Program
- Arlington, MA
- NPI 1124778741
-
- Family Medicine Physician
- Reading, MA
- NPI 1942277611
-
- Social Worker
- Somerville, MA
- NPI 1659438059
-
- Family Medicine Physician
- Boston, MA
- NPI 1003921065
-
- Family Medicine Physician
- Somerville, MA
- NPI 1366433666
-
- Family Nurse Practitioner
- Boston, MA
- NPI 1104229442
-
- Family Medicine Physician
- Dorchester, MA
- NPI 1346404563
-
- Family Medicine Physician
- Arlington, MA
- NPI 1396745766
-
- Physician Assistant
- Littleton, MA
- NPI 1558072058
-
- Physician Assistant
- Arlington, MA
- NPI 1194191221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279238400000",
"number": "1801953849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WATER ST",
"address_2": "SUITE 1A",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764812",
"telephone_number": "781-648-9700",
"fax_number": "781-648-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WATER ST",
"address_2": "SUITE 1A",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764812",
"telephone_number": "781-648-9700",
"fax_number": "781-648-0234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2010-07-16",
"status": "A",
"authorized_official_last_name": "HILLERY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "781-648-9700"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9711635",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.