Succor Primary Care Inc
NPI 1295311207ActiveOrganization· Nurse Practitioner, Primary Care· Waltham, MA
Nurse Practitioner, Primary Care in Waltham, Massachusetts, registered in NPPES in March 2021. The authorized official on file is Lelia Janice Magoba, NURSE PRACTITIONER, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295311207 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2021 |
| Last updated in NPPES | Mar 16, 2022 |
| Certified by provider | Feb 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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