Organization Active NPI

Rmccm LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Boston, MA
National Provider Identifier
1861064719
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
RMCCM LLC
Practice address
361 Newbury St FL 5
Boston, MA 02115-2738
Phone
(408) 717-0841
NPI assigned
Jul 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Rahul Sharma
Title
Ceo
Phone
(408) 717-0841

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X

Addresses

Primary practice location

361 Newbury St FL 5
Boston, MA 02115-2738

Mailing address

5 Cabot Rd Unit 161
Medford, MA 02155-5298
Phone (408) 717-0841

Other practice location 1

5 Cabot Rd Unit 161
Medford, MA 02155-5298
Phone (408) 717-0841

Other practice location 2

11335 NE 122nd Way Ste 105
Kirkland, WA 98034-6933
Phone (408) 717-0841

National Provider Directory

National Provider Directory

Locations

361 Newbury St
Fl 59372
Boston, MA 02115

536 Nashua St
Milford, NH 03055
Phone (603) 673-1511

1716 Briarcrest Dr
Ste 300
Bryan, TX 77802
Phone (888) 512-1673

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1861064719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CABOT RD UNIT 161",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555298",
            "telephone_number": "408-717-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 NEWBURY ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152738",
            "telephone_number": "408-717-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Cabot Rd Unit 161",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "021555298",
            "country_code": "US",
            "telephone_number": "408-717-0841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11335 NE 122nd Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980346933",
            "country_code": "US",
            "telephone_number": "408-717-0841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RMCCM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-717-0841"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.