Individual provider Active NPI

Marvin Nayib Prado, PA-C

  • Physician Assistant
  • Hingham, MA
National Provider Identifier
1952085011
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9517 Issued in MA
Practice address
2 Pond Park Rd Ste 102
Hingham, MA 02043-4354
Phone
(781) 337-5555
Fax
(781) 335-6047
NPI assigned
Jun 9, 2023
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9517 MA Primary

Addresses

Primary practice location

2 Pond Park Rd Ste 102
Hingham, MA 02043-4354

Mailing address

71 Border Rd Ste 300
Waltham, MA 02451-1044

Other practice location 1

725 Albany St Ste 4B
Boston, MA 02118-3549
Phone (617) 638-5633

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
I20240202003049 MA Practitioner - Physician Assistant 2466895776 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University Orthopaedic Surgical Associates IncGroup PAC ID 0143297655, 36 clinicians
South Shore Orthopedics LLCGroup PAC ID 7517057284, 37 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-5633

2 Pond Park Rd
Suite 102
Hingham, MA 02043-4354
Phone (781) 337-5555

725 Albany St
Boston, MA 02118-2526
Phone (617) 638-5633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9517MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
South Shore Orthopedics, LLC CurrentSince Aug 7, 2025 Accepting new patients
Boston University Family Medicine, Inc. PastSince Jan 14, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC Past Accepting new patients

Locations

360 Brockton Ave
Ste 101
Abington, MA 02351
Phone (781) 337-5555

960 Massachusetts Ave
Ste 2
Boston, MA 02118
Phone (617) 414-7399

2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555

Interoperability endpoints

  • Direct secure messaging: mprado240002@direct.bmc.masshiway.net

Organizations & group practices 8

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": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1952085011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BORDER RD STE 300",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD STE 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434354",
            "telephone_number": "781-337-5555",
            "fax_number": "781-335-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany St Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183549",
            "country_code": "US",
            "telephone_number": "617-638-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADO",
        "first_name": "MARVIN",
        "middle_name": "NAYIB",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA9517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.