Organization Active NPI

Luna Primary Care Inc

  • Family Medicine Physician
  • Salem, MA
National Provider Identifier
1982412524
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LUNA PRIMARY CARE INC
Doing business as
Luna Primary Care
Practice address
27 Congress St Unit 1502
Salem, MA 01970-7309
Phone
(781) 288-5862
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Jose Aristides Aguilar, FNP-CNPI 1972238897
Title
President
Phone
(781) 288-5862

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

27 Congress St Unit 1502
Salem, MA 01970-7309

Mailing address

27 Congress St Unit 1502
Salem, MA 01970-7309
Phone (781) 288-5862

Other names 1

  • Luna Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250213000205 MA Part B Supplier - Clinic/Group Practice 5193255669 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, 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
22D2325561Luna Primary Care, Inc27 Congress Street, Unit 1502, Salem, MA 01970Certificate of waiverJun 15, 2027

National Provider Directory

National Provider Directory

Locations

27 Congress St
Unit 1502
Salem, MA 01970
Phone (781) 288-5862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1982412524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST UNIT 1502",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707309",
            "telephone_number": "781-288-5862",
            "fax_number": "781-658-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST UNIT 1502",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707309",
            "telephone_number": "781-288-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ARISTIDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-288-5862",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luna Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.