Active NPI
Rmccm LLC
- Geriatric Medicine (Family Medicine) Physician
- Boston, MA
National Provider Identifier
1861064719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Clinical Nurse Specialist | 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 DirectoryLocations
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.