QUINCY PRIMARY HEALTHCARE PC
NPI 1720597537
Clinic/Center in Quincy, MA

Active since September 25, 2017CLIA 22D2343879 · Waiver
300 CONGRESS ST STE 203, QUINCY, MA 02169(617) 481-1771 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Quincy Primary Healthcare Pc NPPES

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

QUINCY PRIMARY HEALTHCARE PC (NPI 1720597537) is a healthcare organization registered as a clinic/center in Quincy, Massachusetts and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Yan Tan, President, as its authorized official.

NPPES Registry Identity

NPI1720597537
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameQUINCY PRIMARY HEALTHCARE PC
Location Address300 CONGRESS ST STE 203Quincy, MA 02169-0907
Mailing Address300 Congress St Ste 203Quincy, MA 02169-0907 · (617) 481-1771
Organization SubpartNo
Authorized OfficialYan TanPresident · (347) 429-2722
Enumeration DateSeptember 25, 2017
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1720597537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

300 CONGRESS ST STE 203, Quincy, MA 02169

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 22D2343879

Quincy Primary Healthcare PC · Quincy, MA
Active · expires May 12, 2028
CLIA Number22D2343879
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorYan Tan
Laboratory Phone(617) 481-1771
Laboratory LocationQuincy Primary Healthcare PC300 Congress St Suite 202, Quincy, MA 02169
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720597537, enumerated as an "organization" on September 25, 2017.

The provider is located at 300 CONGRESS ST STE 203 QUINCY, MA 02169 and the phone number is (617) 481-1771.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.