MARLBORO INTERNAL MEDICINE P.C
NPI 1477764116
Clinic/Center - Primary Care in Marlborough, MA

Active since May 24, 2007CLIA 22D1004757 · Waiver
65 FREMONT ST, MARLBOROUGH, MA 01752(508) 303-8553(508) 303-0665 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlboro Internal Medicine P.c NPPES

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

MARLBORO INTERNAL MEDICINE P.C (NPI 1477764116) is a healthcare organization registered as a primary care in Marlborough, Massachusetts and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Lalita Matta, Owner, as its authorized official.

NPPES Registry Identity

NPI1477764116
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMARLBORO INTERNAL MEDICINE P.C
Location Address65 FREMONT STMarlborough, MA 01752-1271
Mailing Address65 Fremont StMarlborough, MA 01752-1271 · (508) 303-8553 · Fax (508) 303-0665
Fax(508) 303-0665
Organization SubpartNo
Authorized OfficialLalita MattaOwner · (508) 303-8553
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1477764116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MA · 78051
65 FREMONT ST, Marlborough, MA 01752

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 of Waiver 22D1004757

Marlborough Internal Medicine PC · Marlboro, MA
Active · expires Oct 3, 2026
CLIA Number22D1004757
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorLalita A. Matta
Laboratory Phone(508) 303-8553
Laboratory LocationMarlborough Internal Medicine PC65 Fremont St, Marlboro, MA 01752
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

Dentist (General Practice)
65 FREMONT ST, SUITE 2A
MARLBOROUGH, MA 01752
Internal Medicine
65 FREMONT ST
MARLBOROUGH, MA 01752
Orthopaedic Surgery (Sports Medicine)
65 FREMONT ST
MARLBOROUGH, MA 01752
Specialist
65 FREMONT ST
MARLBORO, MA 01752
Obstetrics & Gynecology (Gynecology)
65 FREMONT ST, SUITE NUMBER 5
MARLBOROUGH, MA 01752
Specialist
65 FREMONT ST, SUITE 5
MARLBOROUGH, MA 01752
Internal Medicine (Medical Oncology)
65 FREMONT ST
MARLBOROUGH, MA 01752
Orthopaedic Surgery
65 FREMONT ST
MARLBORO, MA 01752

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 Marlboro Internal Medicine P.C's NPI number?

The NPI number for Marlboro Internal Medicine P.C is 1477764116. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Marlboro Internal Medicine P.C located?

Marlboro Internal Medicine P.C is located at 65 Fremont St, Marlborough, MA 01752. The listed phone number is (508) 303-8553.

What is Marlboro Internal Medicine P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Marlboro Internal Medicine P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1004757) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marlboro Internal Medicine P.C accept?

Health plans from Anthem Blue Cross and Blue Shield list Marlboro Internal Medicine P.C 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 Marlboro Internal Medicine P.C was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.