QUINCY MEDICAL CENTER NPI 1962446021

NPI Information

NPI: 1962446021
Provider Name: QUINCY MEDICAL CENTER
Classification: Physician Assistant - 363AS0400X
Specialization: Surgical
Entity Type: Organization
:
Address: 114 WHITWELL ST
QUINCY, MA
ZIP 02169
Phone: (617) 773-6100

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NPI Details

QUINCY MEDICAL CENTER is a surgical physician assistant in Quincy, MA. QUINCY MEDICAL CENTER NPI is 1962446021. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

114 WHITWELL ST
QUINCY, MA
ZIP 02169-870
Phone: (617) 773-6100

The provider's authorized official is Mark A Gronberg .
The authorized official title is Vp Cfo and has the following contact phone number (617) 773-6100.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0200X	Internal Medicine	Critical Care Medicine	No
3	208M00000X	Hospitalist		No
4	363A00000X	Physician Assistant		No
5	363AS0400X	Physician Assistant	Surgical	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1212575	MEDICAID	MASSACHUSETTS
2	M17847	OTHER	MASSACHUSETTS	BCBS OF MA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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