1620 PRIMARY CARE, PLLC
NPI 1174214464
Family Medicine in Plymouth, MA

Active since May 17, 2023CLIA 22D2285685 · Microscopy
110 LONG POND RD STE 110, PLYMOUTH, MA 02360(508) 591-3111(774) 283-9949 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, May 17, 2023 (2 updates tracked since 2023).

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

NPI1174214464
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name1620 PRIMARY CARE, PLLC
Location Address110 LONG POND RD STE 110Plymouth, MA 02360-2642
Mailing Address110 Long Pond Rd Ste 110Plymouth, MA 02360-2642 · (508) 591-3111 · Fax (774) 283-9949
Fax(774) 283-9949
Organization SubpartNo
Authorized OfficialAaron MaloyNurse Practitioner/pcp · (508) 591-3111
Enumeration DateMay 17, 2023
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1174214464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 LONG POND RD STE 110, Plymouth, MA 02360

Other Names 2

Doing Business As1620 Primary Care
Doing Business As1620 Primary Care, Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, MA
Active · expires Feb 23, 2028
CLIA Number22D2285685
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorAaron Maloy
Laboratory Phone(508) 591-3111
Laboratory Location1620 Primary Care110 Long Pond Rd Ste 110, Plymouth, MA 02360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
110 LONG POND RD STE 110
PLYMOUTH, MA 02360

Frequently 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.

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 13 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.