Kingsbury Primary Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

76917 Issued in MA

Legal business name

KINGSBURY PRIMARY CARE PC

Practice address

11 Tremont St
Kingston, MA 02364-1231

Phone

(781) 585-5518

Fax

(781) 585-5510

NPI assigned

Feb 19, 2011

Organization subpart

Yes

Parent organization

KINGSBURY PRIMARY CARE,PCAs reported in NPPES

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

Authorized official

Name

Adnan Kamel Elamine, M.D.NPI 1588722979

Title

President

Phone

(781) 585-5518

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Part of

Kingsbury Primary Care PC

Locations

Practitioners 2

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

• Adnan Kamel El-Amine, M.D.

  • Internal Medicine Physician
  • Kingston, MA
  • NPI 1588722979
  Medicare reassignment Authorized official
• Kellie St Martin

  • Adult Health Nurse Practitioner
  • Boston, MA
  • NPI 1598305807
  NPD (past)

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

{
    "created_epoch": "1298073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298073600000",
    "number": "1902103385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TREMONT ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641231",
            "telephone_number": "781-585-5518",
            "fax_number": "781-585-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TREMONT ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641231",
            "telephone_number": "781-585-5518",
            "fax_number": "781-585-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBURY PRIMARY CARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINGSBURY PRIMARY CARE,PC",
        "enumeration_date": "2011-02-19",
        "last_updated": "2011-02-19",
        "status": "A",
        "authorized_official_last_name": "ELAMINE",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_middle_name": "KAMEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-585-5518",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "76917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Keiran, DC
• Rebecca Kenney
• Joyce B Keohan, LICSW
• Jennifer Kiely
• Alexis Kindig, DPT
• Kingston Board of Health
• Erin Terese Lazaron, LPN
• Nancy E Lecuyer
• Carolyn Marie Lesieur, PTA
• Mara Linscott, MD

• Internal Medicine Physician in Kingston, MA
• Providers in Kingston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.