Individual provider Active NPI

Neil Denis McCarthy, PA-C

  • Physician Assistant
  • Melrose, MA
National Provider Identifier
1962053926
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7194 Issued in MA
Practice address
585 Lebanon St
Melrose, MA 02176-3298
Phone
(781) 979-3000
NPI assigned
Sep 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

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 PA7194 MA Primary

Addresses

Primary practice location

585 Lebanon St
Melrose, MA 02176-3298

Mailing address

17 Fayette St Apt 2
Beverly, MA 01915-5258
Phone (978) 758-5115

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
I20191111002720 MA Practitioner - Physician Assistant 2668804766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hallmark Health Urgent Care Physicians LLCGroup PAC ID 1153557616, 33 clinicians

Practice addresses (Care Compare)

1019 Trapelo Rd
Waltham, MA 02452-5002
Phone (774) 400-4084

1030 Main St
Waltham, MA 02451-7447
Phone (781) 894-6900

154 Great Rd
Bedford, MA 01730-2725
Phone (781) 430-8161

16 Main St
Stoneham, MA 02180-3334
Phone (781) 279-4000

17 White St
Cambridge, MA 02140-1413
Phone (781) 430-9161

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 979-3000

30 New Crossing Rd
Reading, MA 01867-3270
Phone (781) 213-5500

4110 Mystic Valley Pkwy
Suite 2
Medford, MA 02155-6916
Phone (774) 400-4084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA7194MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Urgent Care Professionals, PC CurrentSince Apr 3, 2025 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Apr 3, 2025 Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

Interoperability endpoints

  • Direct secure messaging: nmccarthy28787@tuftsmedicine.direct-ci.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1962053926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FAYETTE ST APT 2",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155258",
            "telephone_number": "978-758-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 LEBANON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763298",
            "telephone_number": "781-979-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "NEIL",
        "middle_name": "DENIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.