FORM HEALTH ASSOCIATES MA, P.C.
NPI 1295554137
Internal Medicine - Endocrinology, Diabetes & Metabolism in Boston, MA

Active since October 08, 2024
109 STATE ST., 5TH FL, BOSTON, MA 02109(617) 505-1520(617) 928-8401 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2026, Oct 8, 2024 (2 updates tracked since 2024).

About Form Health Associates Ma, P.c. NPPES

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

FORM HEALTH ASSOCIATES MA, P.C. (NPI 1295554137) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Boston, Massachusetts and active in the NPI registry since October 2024. The organization lists Nam Ho Kim, President, as its authorized official.

NPPES Registry Identity

NPI1295554137
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameFORM HEALTH ASSOCIATES MA, P.C.
Location Address109 STATE ST., 5TH FLBoston, MA 02109-2906
Mailing Address109 State St., 5th FlBoston, MA 02109-2906 · (617) 505-1520 · Fax (617) 928-8401
Fax(617) 928-8401
Organization SubpartNo
Authorized OfficialNam Ho KimPresident · (617) 505-1520
Enumeration DateOctober 8, 2024
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
NPI 1295554137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

109 STATE ST., Boston, MA 02109

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

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
109 STATE ST., 5TH FL
BOSTON, MA 02109
Nurse Practitioner (Adult Health)
109 STATE ST., 5TH FL
BOSTON, MA 02109
Internal Medicine
109 STATE ST., 5TH FL
BOSTON, MA 02109
Internal Medicine (Obesity Medicine)
109 STATE ST., 5TH FL
BOSTON, MA 02109
Nurse Practitioner (Family)
109 STATE ST., 5TH FL
BOSTON, MA 02109
Internal Medicine
109 STATE ST., 5TH FL
BOSTON, MA 02109
Nurse Practitioner (Family)
109 STATE ST., 5TH FL
BOSTON, MA 02109

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 Form Health Associates Ma, P.C.'s NPI number?

The NPI number for Form Health Associates Ma, P.C. is 1295554137. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Form Health Associates Ma, P.C. located?

Form Health Associates Ma, P.C. is located at 109 State St. 5th Fl, Boston, MA 02109. The listed phone number is (617) 505-1520.

What is Form Health Associates Ma, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Form Health Associates Ma, P.C. was last updated on March 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.