NPIMap

Organization Active NPI

Personal Care Physicians, PC

  • Family Medicine Physician
  • Newburyport, MA
National Provider Identifier
1942624796
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
216973 Issued in MA
Legal business name
PERSONAL CARE PHYSICIANS, PC
Practice address
255 Low St
Suite 303
Newburyport, MA 01950-3594
Phone
(978) 225-0378
NPI assigned
Feb 14, 2014
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Dr. Mark Su, MDNPI 1609871946
Title
Physician/Owner
Phone
(978) 875-0328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 216973 MA Primary

Addresses

Primary practice location

255 Low St
Suite 303
Newburyport, MA 01950-3594

Mailing address

255 Low St
Suite 303
Newburyport, MA 01950-3594
Phone (978) 225-0378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140703000037 MA Part B Supplier - Clinic/Group Practice 7719102888 Receives reassigned benefits from 4 practitioners
Practice locations: Newburyport, MA

National Provider Directory

National Provider Directory

Locations

255 Low St
Ste 202
Newburyport, MA 01950
Phone (978) 225-0378

255 Low St
Ste 303
Newburyport, MA 01950
Phone (978) 225-0378

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1942624796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LOW ST",
            "address_2": "SUITE 303",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503594",
            "telephone_number": "978-225-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LOW ST",
            "address_2": "SUITE 303",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503594",
            "telephone_number": "978-225-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "978-875-0328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "216973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.