Organization Active NPI

Primary & Preventive Care, Inc.

  • Primary Care Clinic/Center
  • Hanover, MA
National Provider Identifier
1992035380
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
17300000X Issued in MA
Legal business name
PRIMARY & PREVENTIVE CARE, INC.
Practice address
20 East St
Hanover, MA 02339-1638
Phone
(781) 826-3146
Fax
(781) 826-1110
NPI assigned
Jan 6, 2010
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Heather Mehdi
Title
Office
Phone
(617) 680-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 17300000X MA Primary

Addresses

Primary practice location

20 East St
Hanover, MA 02339-1638

Mailing address

20 East St
Hanover, MA 02339-1638
Phone (781) 826-3146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110823000098 MA Part B Supplier - Clinic/Group Practice 7517137920 Receives reassigned benefits from 1 practitioner
Practice locations: Hanover, 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
22D0663918Primary & Preventive Care20 East St, Hanover, MA 02339Certificate of waiverJun 17, 2028

National Provider Directory

National Provider Directory

Locations

20 East St
Ste 3
Hanover, MA 02339
Phone (781) 826-3146

Practitioners & affiliated clinicians

Practitioners 1

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": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1992035380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EAST ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391638",
            "telephone_number": "781-826-3146",
            "fax_number": "781-826-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391638",
            "telephone_number": "781-826-3146",
            "fax_number": "781-826-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY & PREVENTIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "MEHDI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "617-680-2442"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "17300000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.