Individual provider Active NPI

Malika Ammor, NP

  • Nurse Practitioner
  • Framingham, MA
National Provider Identifier
1942828835
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F07200333 Issued in MA
Practice address
571 Union Ave Ste 202
Framingham, MA 01702-5829
Phone
(617) 642-5478
NPI assigned
Jul 8, 2020
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F07200333 MA Primary

Addresses

Primary practice location

571 Union Ave Ste 202
Framingham, MA 01702-5829

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ammor.Malika.CRM@direct.partners.masshiway.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113000753 MA Practitioner - Nurse Practitioner 2466862800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

571 Union Ave
Suite 202
Framingham, MA 01702-5829
Phone (508) 665-6261

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07200333MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Medical Associates PC CurrentSince Oct 1, 2020 Accepting new patients
Charles River Medical Associates PC CurrentSince Oct 1, 2020 Accepting new patients

Locations

171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029

571 Union Ave
Ste 202
Framingham, MA 01702
Phone (508) 665-6261

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

Interoperability endpoints

  • Direct secure messaging: ammor.malika.crm@direct.partners.masshiway.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1942828835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 UNION AVE STE 202",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025829",
            "telephone_number": "617-642-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMOR",
        "first_name": "MALIKA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "F07200333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ammor.Malika.CRM@direct.partners.masshiway.net",
            "affiliation": "N",
            "address_1": "571 Union Ave Ste 202",
            "city": "Framingham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017025829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.