PLYMOUTH CARVER PRIMARY CARE, P.C.
NPI 1285761619
Internal Medicine - Gastroenterology in Plymouth, MA

Active since February 27, 2007CLIA 22D0080147 · Waiver
110 LONG POND RD, SUITE 212, PLYMOUTH, MA 02360(508) 746-7272 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Plymouth Carver Primary Care, P.c. NPPES

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

PLYMOUTH CARVER PRIMARY CARE, P.C. (NPI 1285761619) is a healthcare organization registered as a gastroenterology in Plymouth, Massachusetts and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Janice E Aiello, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1285761619
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePLYMOUTH CARVER PRIMARY CARE, P.C.
Location Address110 LONG POND RD, SUITE 212Plymouth, MA 02360-2642
Mailing Address110 Long Pond Rd, Suite 212Plymouth, MA 02360-2642 · (508) 746-7272
Organization SubpartNo
Authorized OfficialJanice E AielloPractice Manager · (508) 746-7272
Enumeration DateFebruary 27, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1285761619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MA · 76027
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 226393 (MA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 47038 (MA), 220157 (MA), 29307 (MA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 182208 (MA), 143121 (MA)
110 LONG POND RD, Plymouth, MA 02360

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plymouth Carver Primary Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Plymouth Carver Primary Care, P.C., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Internal Medicine4
Family Practice2

Clinicians, nearest first (13)

Family Practice
NPI 1659712362
110 LONG POND RD
Plymouth, MA 02360
(508) 746-7272
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760181705
110 LONG POND RD STE 212
Plymouth, MA 02360
(508) 746-7272
✔ PECOSSame address
Nurse Practitioner
NPI 1427679380
110 LONG POND RD STE 212
Plymouth, MA 02360
(508) 746-7272
✔ PECOSSame address
Nurse Practitioner
NPI 1366255705
110 LONG POND RD STE 212
Plymouth, MA 02360
(508) 746-0565
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1467491464
110 LONG POND RD 1ST 212
Plymouth, MA 02360
(508) 746-7272
✔ PECOSSame address
Internal Medicine
NPI 1669585899
110 LONG POND RD SUITE 212
Plymouth, MA 02360
(508) 746-7272
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659787737
110 LONG POND RD
Plymouth, MA 02360
(508) 746-7272
✔ PECOSSame address
Internal Medicine
NPI 1922111640
110 LONG POND RD SUITE 212
Plymouth, MA 02360
(508) 746-7272
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1225141500
110 LONG POND RD SUITE 212
Plymouth, MA 02360
(508) 746-7272
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740393750
110 LONG POND RD SUITE 212
Plymouth, MA 02360
(508) 746-7272
✔ PECOSSame address
Nurse Practitioner
NPI 1033810957
36 CORDAGE PARK CIR STE 326
Plymouth, MA 02360
(781) 248-1596
✔ PECOS✔ Accepts Medicare4.1 mi
Family Practice
NPI 1396792081
3 CARVER SQ
Carver, MA 02330
(508) 866-7722
✔ PECOS✔ Accepts Medicare6.3 mi
Nurse Practitioner
NPI 1437562261
541 MAIN ST STE 301
South Weymouth, MA 02190
(781) 952-1480
✔ PECOS✔ Accepts Medicare24 mi

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 of Waiver 22D0080147

Plymouth-Carver Primary Care PC · Plymouth, MA
Active · expires Dec 1, 2027
CLIA Number22D0080147
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorMitchell L. Oliver
Laboratory Phone(508) 746-7272
Laboratory LocationPlymouth-Carver Primary Care PC110 Long Pond Rd, Suite 212, Plymouth, MA 02360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Plymouth Carver Primary Care, P.C.'s NPI number?

The NPI number for Plymouth Carver Primary Care, P.C. is 1285761619. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Plymouth Carver Primary Care, P.C. located?

Plymouth Carver Primary Care, P.C. is located at 110 Long Pond Rd Suite 212, Plymouth, MA 02360. The listed phone number is (508) 746-7272.

What is Plymouth Carver Primary Care, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Plymouth Carver Primary Care, P.C. enrolled in Medicare?

Yes. Plymouth Carver Primary Care, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plymouth Carver Primary Care, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Plymouth Carver Primary Care, P.C.. 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. The largest specialties are Nurse Practitioner (7), Internal Medicine (4) and Family Practice (2). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Plymouth Carver Primary Care, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0080147) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Plymouth Carver Primary Care, P.C. was last updated on September 11, 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.