MALDEN MEDICAL PRACTICE
NPI 1245454123
Family Medicine - Addiction Medicine in Malden, MA

Active since April 12, 2007
155 MAIN ST, MALDEN, MA 02148(781) 324-1200(781) 324-1204 Get Directions Write a Review

NPPES record last updated: February 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Malden Medical Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALDEN MEDICAL PRACTICE (NPI 1245454123) is a healthcare organization registered as an addiction medicine in Malden, Massachusetts and active in the NPI registry since April 2007. The organization lists Mary J Delong, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1245454123
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NamePREVENTIVE MEDICINE ASSOCIATES
Location Address155 MAIN STMalden, MA 02148-6936
Mailing Address155 Main StMalden, MA 02148-6936 · (781) 324-1200 · Fax (781) 324-1204
Fax(781) 324-1204
Organization SubpartYes
Authorized OfficialMary J DelongCredentialing Manager · (413) 222-7711
Enumeration DateApril 12, 2007
Last NPPES UpdateFebruary 10, 2009
NPI 1245454123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
155 MAIN ST, Malden, MA 02148

Other Names 1

Doing Business AsMalden Medical Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Preventive Medicine Associates's NPI number?

The NPI number for Preventive Medicine Associates is 1245454123. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is doing business as Malden Medical Practice.

Where is Preventive Medicine Associates located?

Preventive Medicine Associates is located at 155 Main St, Malden, MA 02148. The listed phone number is (781) 324-1200.

What is Preventive Medicine Associates's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Preventive Medicine Associates was last updated on February 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.