ATLANTIC PRIMARY CARE PC NPI 1326015454

NPI Information

  • NPI: 1326015454
  • Provider Name: ATLANTIC PRIMARY CARE, PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 22D1051670
  • Address: 135 WEBSTER ST
    HANOVER, MA
    ZIP 02339
  • Phone: (781) 871-5030

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NPI Details

ATLANTIC PRIMARY CARE, PC is a primary care clinic center in Hanover, MA. ATLANTIC PRIMARY CARE, PC NPI is 1326015454. The provider is registered as an organization entity type.

The provider's business location address is:

135 WEBSTER ST
HANOVER, MA
ZIP 02339-200
Phone: (781) 871-5030
Fax: (781) 871-5480

The provider's authorized official is Nahid B Kennedy .
The authorized official title is President and has the following contact phone number (781) 871-5030.

The CLIA number assigned to this NPI record is 22D1051670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 9/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care79640MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M21716MEDICARE PINMASSACHUSETTS
2G03800MEDICARE UPINMASSACHUSETTS
33142540MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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