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PREVENTIVE MEDICINE ASSOCIATES
NPI 1962451591
Family Medicine - Addiction Medicine in Brookline, MA

Active since May 10, 2006
11 KENT ST, BROOKLINE, MA 02445(617) 383-6405 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Preventive Medicine Associates NPPES

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

PREVENTIVE MEDICINE ASSOCIATES (NPI 1962451591) is a healthcare organization registered as an addiction medicine in Brookline, Massachusetts and active in the NPI registry since May 2006. The organization lists Punyamurtula Kishore, Director, as its authorized official.

NPPES Registry Identity

NPI1962451591
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NamePREVENTIVE MEDICINE ASSOCIATES
Location Address11 KENT STBrookline, MA 02445-7901
Mailing Address11 Kent StBrookline, MA 02445-7901 · (617) 383-6405
Phone(617) 383-6405
Organization SubpartNo
Authorized OfficialPunyamurtula KishoreDirector · (617) 383-6567
Enumeration DateMay 10, 2006
Last NPPES UpdateMay 22, 2008
✔ NPI 1962451591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
11 KENT ST, Brookline, MA 02445
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Other Identifiers 2

Medicare PINM15800
Medicaid9772898MA

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

Other Providers at the Same Location NPPES 3

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

MS. MARY C CASSIDY N.P.
Nurse Practitioner (Adult Health)
11 KENT ST
BROOKLINE, MA 02445
Norfolk County (617) 447-2147
SPRINGFIELD INTERNATIONAL HEALTH CENTER
Family Medicine (Addiction Medicine)
11 KENT ST
BROOKLINE, MA 02445
Norfolk County (617) 383-6567
NATIONAL PSYCHIATRIC SERVICES, INC
Psychiatry & Neurology (Psychiatry)
11 KENT ST
BROOKLINE, MA 02445
Norfolk County (617) 738-4640

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 Preventive Medicine Associates's NPI number?

The NPI number for Preventive Medicine Associates is 1962451591. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Preventive Medicine Associates located?

Preventive Medicine Associates is located at 11 Kent St, Brookline, MA 02445. The listed phone number is (617) 383-6405.

What is Preventive Medicine Associates's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Preventive Medicine Associates was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.