1620 PRIMARY CARE, PLLC
NPI 1174214464
Family Medicine in Plymouth, MA
About 1620 Primary Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
1620 PRIMARY CARE, PLLC (NPI 1174214464), doing business as 1620 Primary Care, is a healthcare organization registered as a family medicine in Plymouth, Massachusetts and active in the NPI registry since May 2023. The organization holds a CLIA Microscopy certificate valid through February 23, 2028 and lists Aaron Maloy, Nurse Practitioner/pcp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
1620 Primary Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to 1620 Primary Care, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D2285685
1620 Primary Care · Plymouth, MAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 1620 Primary Care, PLLC's NPI number?
The NPI number for 1620 Primary Care, PLLC is 1174214464. It was assigned to this organization in the NPPES registry on May 17, 2023. The provider is doing business as 1620 Primary Care.
Where is 1620 Primary Care, PLLC located?
1620 Primary Care, PLLC is located at 110 Long Pond Rd Ste 110, Plymouth, MA 02360. The listed phone number is (508) 591-3111.
What is 1620 Primary Care, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is 1620 Primary Care, PLLC enrolled in Medicare?
Yes. 1620 Primary Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 1620 Primary Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to 1620 Primary Care, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does 1620 Primary Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D2285685) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does 1620 Primary Care, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list 1620 Primary Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for 1620 Primary Care, PLLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# 1620 Primary Care, Pllc · NPI 1174214464
Family Medicine organization in Plymouth, Massachusetts. Organization record, active in the CMS NPPES registry since May 17, 2023.
## Identity
- **NPI:** 1174214464 (Entity type: Organization)
- **Enumerated:** May 17, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** 1620 Primary Care (Doing Business As); 1620 Primary Care, PLLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Aaron Maloy, NURSE PRACTITIONER/PCP
## Practice location
- **Address:** 110 LONG POND RD STE 110, Plymouth, MA 02360-2642
- **Phone:** (508) 591-3111 · **Fax:** (774) 283-9949
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174214464) · Data from the CMS NPPES public registry.