NPIMap

Organization Active NPI

Coastal Medical Associates

  • Anesthesiology Physician
  • Weymouth, MA
National Provider Identifier
1932175684
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
COASTAL MEDICAL ASSOCIATES
Practice address
55 Fogg Rd
Weymouth, MA 02190-2432
Phone
(781) 340-4293
Fax
(781) 340-3782
NPI assigned
Feb 23, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Marianne Caputo
Title
Provider Enrollment Supervisor
Phone
(781) 792-4136

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

55 Fogg Rd
Weymouth, MA 02190-2432

Mailing address

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000

Other practice location 1

851 Main St Ste 6
Weymouth, MA 02190-1613
Phone (781) 331-0250

Other practice location 2

90 Libbey Pkwy
Weymouth, MA 02189-3129
Phone (781) 624-4950

Other practice location 3

101 Columbian St
Weymouth, MA 02190-1601
Phone (781) 624-5000

Other practice location 4

2 Pond Park Rd
Hingham, MA 02043-4347
Phone (781) 624-6200

Other practice location 5

797 Main St
Weymouth, MA 02190-1623
Phone (781) 624-8000

Other names 1

  • Coastal Medical Associates, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070221000057 MA Part B Supplier - Clinic/Group Practice 7113029257 Receives reassigned benefits from 829 practitioners
Practice locations: Weymouth, MA; Rockland, MA; Hingham, MA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2215652Coastal Medical Associates797 Main St, South Weymouth, MA 02190Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Locations

340 Wood Rd
Ste 305
Braintree, MA 02184
Phone (781) 624-3030

2 Pond Park Rd
Hingham, MA 02043
Phone (781) 337-5555

2 Pond Park Rd
Ste 301
Hingham, MA 02043

2 Pond Park Rd
Ste 303
Hingham, MA 02043
Phone (781) 624-2525

141 Longwater Dr
Ste 201LOFT
Norwell, MA 02061

156 Church St
Pembroke, MA 02359
Phone (781) 826-4746

1221 Main St
#G
South Weymouth, MA 02190

55 Fogg Rd
#0
South Weymouth, MA 02190

51 Performance Dr
#2
Weymouth, MA 02189
Phone (781) 682-5000

51 Performance Dr
Ste 110
Weymouth, MA 02189
Phone (781) 337-9091

55 Fogg Rd
#46
Weymouth, MA 02190

55 Fogg Rd
#99
Weymouth, MA 02190

780 Main St
Weymouth, MA 02190
Phone (781) 331-0250

90 Libbey Park
Weymouth, MA 02189
Phone (781) 331-0537

90 Libbey Park
Ste 100
Weymouth, MA 02189
Phone (781) 624-4950

350 E 17th St
Fl 15
New York, NY 10003
Phone (212) 420-2297

170 Carey Rd
Queensbury, NY 12804
Phone (518) 793-1000

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

Practitioners & affiliated clinicians

Practitioners 888

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 888

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1932175684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FOGG RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902432",
            "telephone_number": "781-624-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOGG RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902432",
            "telephone_number": "781-340-4293",
            "fax_number": "781-340-3782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Main St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021901613",
            "country_code": "US",
            "telephone_number": "781-331-0250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Libbey Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021893129",
            "country_code": "US",
            "telephone_number": "781-624-4950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Columbian St",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021901601",
            "country_code": "US",
            "telephone_number": "781-624-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Pond Park Rd",
            "address_purpose": "LOCATION",
            "city": "Hingham",
            "state": "MA",
            "postal_code": "020434347",
            "country_code": "US",
            "telephone_number": "781-624-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "797 Main St",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021901623",
            "country_code": "US",
            "telephone_number": "781-624-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "781-792-4136"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Medical Associates, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Coastal Medical Associates, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.