Wellesley Medical Associates

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

34539 Issued in MA

Legal business name

WELLESLEY MEDICAL ASSOCIATES

Practice address

65 Walnut St
Suite 440
Wellesley, MA 02481-2118

Phone

(781) 235-9089

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Jason Dupee, M.ED

Title

Coo

Phone

(781) 235-9089

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard M Dupee, MD

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1184730673

  Geriatric Medicine

  NPD
• Alexander Kopp, M.D.

  • Internal Medicine Physician
  • Newton Lower Falls, MA
  • NPI 1750454997
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861693426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 440",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-235-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 440",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-235-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUPEE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "781-235-9089",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "34539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9748814",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM5415",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M15161",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "600422",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellesley Family Care Associates, PC
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• Wellesley Hills Eye Care
• Wellesley Hills PCMH
• Wellesley Hyperbarics
• Wellesley Neuropsychology and Assessment PLLC
• Wellesley Oral Surgery and Implant Center, PLLC
• Wellesley Pediatric Occupational Therapy
• Wellesley Pediatric Speech LLC
• Wellesley Primary Care Medicine, PC

• Geriatric Medicine (Internal Medicine) Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.