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617 PRIMARY CARE PLLC
NPI 1629925425
Family Medicine in Cambridge, MA

Active since March 12, 2026CLIA 22D2341541 · Waiver
777 CONCORD AVE STE 105, CAMBRIDGE, MA 02138(617) 675-4085(617) 360-3163 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 617 Primary Care Pllc NPPES

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

617 PRIMARY CARE PLLC (NPI 1629925425) is a healthcare organization registered as a family medicine in Cambridge, Massachusetts and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Paulius Mui, Owner, as its authorized official.

NPPES Registry Identity

NPI1629925425
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name617 PRIMARY CARE PLLC
Location Address777 CONCORD AVE STE 105Cambridge, MA 02138-1053
Mailing Address777 Concord Ave Ste 105Cambridge, MA 02138-1053 · (617) 675-4085 · Fax (617) 360-3163
Phone(617) 675-4085
Fax(617) 360-3163
Organization SubpartNo
Authorized OfficialPaulius MuiOwner · (617) 840-6340
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1629925425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

777 CONCORD AVE STE 105, Cambridge, MA 02138
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 of Waiver 22D2341541

617 Primary Care PLLC · Cambridge, MA
Active · expires Apr 2, 2028
CLIA Number22D2341541
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorPaulius Mui
Laboratory Phone(617) 675-4085
Laboratory Location617 Primary Care PLLC777 Concord Ave Suite 105, Cambridge, MA 02138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

XPC HEALTH PLLC
Family Medicine
777 CONCORD AVE STE 105
CAMBRIDGE, MA 02138
Middlesex County (617) 675-4085

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 617 Primary Care PLLC's NPI number?

The NPI number for 617 Primary Care PLLC is 1629925425. It was assigned to this organization in the NPPES registry on March 12, 2026.

Where is 617 Primary Care PLLC located?

617 Primary Care PLLC is located at 777 Concord Ave Ste 105, Cambridge, MA 02138. The listed phone number is (617) 675-4085.

What is 617 Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does 617 Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2341541) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 617 Primary Care PLLC was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.