PREVENTIVE MEDICINE ASSOCIATES (NPI# 1326350976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326350976 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE MEDICINE ASSOCIATES |
| Other Organization Name | NEW BEDFORD FAMILY PRACTICE |
| Practice Address |
360 Coggeshall St New Bedford MA 02746-1923 |
| Practice Telephone | 7743289629 |
| Practice Fax Number | 7743289634 |
| Mailing Telephone | 7743289629 |
| Mailing Fax Number | 7743289634 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Authorized Official Name | MS. MARY J DELONG (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4132227711 |
| Authorized Official Credential | MM, RHIA |
| Is Organization Subpart | Y |
| Parent Organization Name | PREVENTIVE MEDICINE ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| New Bedford Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528353612 | Preventive Medicine Associates | Family Medicine | 154 Lynnway, Suite 1c, Lynn, MA 01902-3479 | 2011-06-16 |
| 1659679793 | Preventive Medicine Associates | Family Medicine | 2201 Washington St, Suite 302, Roxbury, MA 02119-3212 | 2011-03-13 |
| 1568760601 | Preventive Medicine Associates | Family Medicine | 501b Washington St, Dorchester Center, MA 02124-2014 | 2011-03-13 |
| 1962705251 | Preventive Medicine Associates | Family Medicine | 9 Henshaw St, Brighton, MA 02135-2905 | 2010-12-08 |
| 1689900565 | Preventive Medicine Associates | Family Medicine | 322 Gifford St, Falmouth, MA 02540 | 2009-10-27 |
| 1962641159 | Preventive Medicine Associates | Family Medicine | 63 Winthrop St, # C1, C2, Taunton, MA 02780-6218 | 2009-02-11 |
| 1578702957 | Preventive Medicine Associates | Counselor | 3261 Main St, Barnstable, MA 02630-1105 | 2009-02-09 |
| 1356507511 | Preventive Medicine Associates | Family Medicine | 98 Suffolk St, Holyoke, MA 01040-4458 | 2008-08-06 |
| 1588093744 | Preventive Medicine Associates | Specialist | 1919 Sw 10th Ave, Suite 22, Topeka, KS 66604-1425 | 2013-11-07 |
| 1427360072 | Preventive Medicine Associates | Family Medicine | 451 Andover St, Suite 195, North Andover, MA 01845-5044 | 2010-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PREVENTIVE MEDICINE ASSOCIATES, INC. | 59 Temple Place, Suite 612, Boston, MA 02111 |
| Street Address |
360 COGGESHALL ST |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02746-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154616159 | Positive Action Against Chemical Addiction, Inc. | Voluntary or Charitable | 360 Coggeshall St, New Bedford, MA 02746-1923 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588228670 | Drx Uc New Bedford PC | Family Medicine | 119 Coggeshall St, New Bedford, MA 02746 | 2019-04-24 |
| 1558845552 | Kim Marie Bigelow | Counselor | Hayden Mcfadden School, 361 Cedar Grove St, New Bedford, MA 02746 | 2018-09-17 |
| 1861814139 | Dr Dental of New Bedford PC | Dentist | 81 Coggeshall St, Suite B, New Bedford, MA 02746 | 2014-01-06 |
| 1184797375 | New England Evaluation Services | General Practice | 1173 Acushnet Ave, New Bedford, MA 02746 | 2006-11-16 |
| 1477648954 | Kool Smiles Mac, PC | Dentist | 137 Hathaway Road, New Bedford, MA 02746 | 2006-10-03 |
| 1376025791 | Sean Carreiro | Pharmacist | 1207 Acushnet Ave, New Bedford, MA 02746 | 2018-09-01 |
| 1861582918 | Daniel Joseph Schafft | Dentist | 137 Hathaway Road, New Bedford, MA 02746 | 2006-10-12 |
| 1982890794 | Jimmy Owens | Social Worker | 14 Shirley St, Unit C-1, New Bedford, MA 02746-1150 | 2007-09-15 |
| 1780888313 | Salvatore Michael Bonanno | Dentist | 137 Hathaway Rd, New Bedford, MA 02746-1304 | 2007-06-14 |
| 1902420888 | Khoa Anh Le | Dentist | 137 Hathaway Rd, New Bedford, MA 02746-1304 | 2020-06-05 |
| Find all providers in zip 02746 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578062758 | Robynne Brown | Family Medicine | 59 Coddington St Ste 103, Quincy, MA 02169-4510 | 2018-02-02 |
| 1528353612 | Preventive Medicine Associates | Family Medicine | 154 Lynnway, Suite 1c, Lynn, MA 01902-3479 | 2011-06-16 |
| 1659679793 | Preventive Medicine Associates | Family Medicine | 2201 Washington St, Suite 302, Roxbury, MA 02119-3212 | 2011-03-13 |
| 1568760601 | Preventive Medicine Associates | Family Medicine | 501b Washington St, Dorchester Center, MA 02124-2014 | 2011-03-13 |
| 1962705251 | Preventive Medicine Associates | Family Medicine | 9 Henshaw St, Brighton, MA 02135-2905 | 2010-12-08 |
| 1689900565 | Preventive Medicine Associates | Family Medicine | 322 Gifford St, Falmouth, MA 02540 | 2009-10-27 |
| 1962641159 | Preventive Medicine Associates | Family Medicine | 63 Winthrop St, # C1, C2, Taunton, MA 02780-6218 | 2009-02-11 |
| 1356507511 | Preventive Medicine Associates | Family Medicine | 98 Suffolk St, Holyoke, MA 01040-4458 | 2008-08-06 |
| 1194949073 | Vineyard Healthcare Assoc. | Family Medicine | 455 State Rd Ste 13, Vineyard Haven, MA 02568-5621 | 2007-04-12 |
| 1063585370 | John M F Costa | Family Medicine | 42 Lands End Way, Swansea, MA 02777-2910 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | NEW BEDFORD |
| Zip Code | 02746 |
Please comment or provide details below to improve the information on PREVENTIVE MEDICINE ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.