HALLMARK HEALTH MEDICAL ASSOCIATES INC
NPI 1255964391
Nurse Practitioner in Medford, MA

Active since February 18, 2020
170 GOVERNORS AVE, MEDFORD, MA 02155(781) 338-7170(781) 338-7173 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hallmark Health Medical Associates Inc NPPES

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

HALLMARK HEALTH MEDICAL ASSOCIATES INC (NPI 1255964391) is a healthcare organization registered as a nurse practitioner in Medford, Massachusetts and active in the NPI registry since February 2020. The organization lists Michael Patrick Connelly, Executive Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255964391
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHALLMARK HEALTH MEDICAL ASSOCIATES INC
Location Address170 GOVERNORS AVEMedford, MA 02155-1643
Mailing AddressPo Box 3237Woburn, MA 01888-3237 · (781) 338-7170 · Fax (781) 338-7173
Fax(781) 338-7173
Organization SubpartYesParent: Melrosewakefield Healthcare Parent Corporation
Authorized OfficialMichael Patrick ConnellyExecutive Vice President, Cfo · (781) 979-3028
Enumeration DateFebruary 18, 2020
NPI 1255964391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X
170 GOVERNORS AVE, Medford, MA 02155

Other Names 1

Other NameHhma Tpp/thp Non-physician

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

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) 22D0918178

Hallmark Health Medical Associates · Medford, MA
Expired · Aug 1, 2026
CLIA Number22D0918178
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorStephanie S. Bjork
Laboratory Phone(781) 395-6000
Laboratory LocationHallmark Health Medical Associates101 Main Street Suite 217, Medford, MA 02155
CLIA data matches this NPI record on: Name
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 20

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

Nurse Practitioner (Adult Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER
MEDFORD, MA 02155
Social Worker (Clinical)
170 GOVERNORS AVE
MEDFORD, MA 02155
Clinical Nurse Specialist (Psychiatric/Mental Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Social Worker (Clinical)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Nurse Practitioner (Adult Health)
170 GOVERNORS AVE
MEDFORD, MA 02155
Internal Medicine
170 GOVERNORS AVE
MEDFORD, MA 02155
Physical Therapy Assistant
170 GOVERNORS AVE
MEDFORD, MA 02155
Internal Medicine
170 GOVERNORS AVE
MEDFORD, MA 02155

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 Hallmark Health Medical Associates Inc's NPI number?

The NPI number for Hallmark Health Medical Associates Inc is 1255964391. It was assigned to this organization in the NPPES registry on February 18, 2020. The provider is also known as HHMA TPP/THP Non-Physician.

Where is Hallmark Health Medical Associates Inc located?

Hallmark Health Medical Associates Inc is located at 170 Governors Ave, Medford, MA 02155. The listed phone number is (781) 338-7170.

What is Hallmark Health Medical Associates Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Hallmark Health Medical Associates Inc was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.