Active NPIOrganization

617 Primary Care PLLC

Family Medicine in Cambridge, Massachusetts

NPI Number1629925425
Practice location
777 Concord Ave Ste 105, Cambridge, MA 02138-1053
Fax
617-360-3163
Last updated
March 12, 2026

617 Primary Care PLLC is a healthcare organization based in Cambridge, MA. 617 Primary Care PLLC practices in Cambridge, MA. The NPI Number for 617 Primary Care PLLC is 1629925425. The current practice location address for 617 Primary Care PLLC is 777 Concord Ave Ste 105, Cambridge, MA 02138-1053 and can be reached out via phone at 617-675-4085 and via fax at 617-360-3163.

Provider Profile Details

NPI Number
1629925425
Provider Name
617 Primary Care PLLC
Provider Entity Type
Organization
Address
777 Concord Ave Ste 105, Cambridge, MA 02138-1053
Phone Number
617-675-4085
Fax Number
617-360-3163
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Paulius Mui, MD · Owner · 617-840-6340
Provider Enumeration Date
March 12, 2026
Last Update Date
March 12, 2026
Certification Date
March 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
777 Concord Ave Ste 105
Cambridge, MA 02138-1053
Zip
02138-1053
Phone Number
617-675-4085
Fax Number
617-360-3163
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
777 Concord Ave Ste 105
Cambridge, MA 02138-1053
City
Cambridge
State
MA
Zip
02138-1053
Phone Number
617-675-4085
Fax Number
617-360-3163

License Information

Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 617 Primary Care PLLC?

The NPI number of 617 Primary Care PLLC is 1629925425. It was assigned on March 12, 2026 and is currently active in the NPPES registry.

What is the specialty of 617 Primary Care PLLC?

617 Primary Care PLLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does 617 Primary Care PLLC practice?

The practice location is 777 Concord Ave Ste 105, Cambridge, MA 02138-1053. The office can be reached at 617-675-4085 (phone) or 617-360-3163 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629925425 directly on the NPPES registry website.

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