Primary Care Physician North PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE PHYSICIAN NORTH PC

Practice address

6 Essex Center Dr Ste 201
Peabody, MA 01960-2906

Phone

(978) 558-4050

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Yan Sun, DMDNPI 1295049211

Title

Director

Phone

(617) 308-8276

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jing Yu, MD

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1598711285
  Medicare reassignment NPD
• Yan Sun, DMD

  • Dentist
  • Gloucester, MA
  • NPI 1295049211
  NPD Authorized official

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1902363294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR STE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602906",
            "telephone_number": "978-558-4050",
            "fax_number": "978-871-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR STE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602906",
            "telephone_number": "978-558-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIAN NORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-308-8276",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess Megan Prescott, D.P.T.
• Fredrica Ann Preston, NP
• Shane Preston, NP
• Prettyoloy, LLC
• Stephanie Preval
• Peter M Prokopis, M.D.
• Psychotherapy North, LLC
• Susana Puertas Manso
• Cara M Puglia, MSPT
• Elaina Catherine Pullano, DMD, MD

• Internal Medicine Physician in Peabody, MA
• Providers in Peabody, 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 Apr 29, 2019; 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.

Verify at the official NPI Registry.