PRIMARY CARE PHYSICIAN NORTH PC
NPI 1902363294
Internal Medicine in Peabody, MA

Active since February 22, 2019CLIA 22D2165829 · Waiver
6 ESSEX CENTER DR STE 201, PEABODY, MA 01960(978) 558-4050 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 29, 2019, Apr 15, 2019, Apr 12, 2019 and 2 more (5 updates tracked since 2019).

About Primary Care Physician North Pc NPPES

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

PRIMARY CARE PHYSICIAN NORTH PC (NPI 1902363294) is a healthcare organization registered as an internal medicine in Peabody, Massachusetts and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Yan Sun, Director, as its authorized official.

NPPES Registry Identity

NPI1902363294
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMARY CARE PHYSICIAN NORTH PC
Location Address6 ESSEX CENTER DR STE 201Peabody, MA 01960-2906
Mailing Address6 Essex Center Dr Ste 201Peabody, MA 01960-2906 · (978) 558-4050 · Fax (978) 871-2792
Organization SubpartNo
Authorized OfficialYan SunDirector · (617) 308-8276
Enumeration DateFebruary 22, 2019
Last NPPES UpdateApril 29, 20195 updates tracked since enumeration
NPI 1902363294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6 ESSEX CENTER DR STE 201, Peabody, MA 01960

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 22D2165829

Primary Care Physician North, PC · Peabody, MA
Active · expires May 6, 2027
CLIA Number22D2165829
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorJean Jing Yu
Laboratory Phone(978) 558-4050
Laboratory LocationPrimary Care Physician North, PC6 Essex Center Dr Ste 201, Peabody, MA 01960
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.

Internal Medicine
6 ESSEX CENTER DR STE 201
PEABODY, MA 01960

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 Primary Care Physician North PC's NPI number?

The NPI number for Primary Care Physician North PC is 1902363294. It was assigned to this organization in the NPPES registry on February 22, 2019.

Where is Primary Care Physician North PC located?

Primary Care Physician North PC is located at 6 Essex Center Dr Ste 201, Peabody, MA 01960. The listed phone number is (978) 558-4050.

What is Primary Care Physician North PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Primary Care Physician North PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2165829) is associated with this NPI, valid through May 6, 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 Primary Care Physician North PC was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.