New Boston Village Primary Care Professional Corporation
NPI 1134289432ActiveOrganization· Internal Medicine· Fall River, MA
Internal Medicine in Fall River, Massachusetts, registered in NPPES in December 2006. The authorized official on file is Nicole McDonald, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134289432 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2006 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 205748 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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