- Practice location
- 578 Main St Unit B5, Malden, MA 02148-4094
- Phone
- 857-200-8997
- Fax
- —
- Last updated
- January 7, 2026
Back Bay MD LLC is a healthcare organization based in Malden, MA. Back Bay MD LLC practices in Malden, MA. The NPI Number for Back Bay MD LLC is 1972460244. The current practice location address for Back Bay MD LLC is 578 Main St Unit B5, Malden, MA 02148-4094 and can be reached out via phone at 857-200-8997.
Provider Profile Details
- NPI Number
- 1972460244
- Provider Name
- Back Bay MD LLC
- Provider Entity Type
- Organization
- Address
- 578 Main St Unit B5, Malden, MA 02148-4094
- Phone Number
- 857-200-8997
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Luis Henkel, MD · Owner And Medical Director · 857-200-8997
- Provider Enumeration Date
- January 7, 2026
- Last Update Date
- January 7, 2026
- Certification Date
- January 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 578 Main St Unit B5
Malden, MA 02148-4094 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-4094
- Phone Number
- 857-200-8997
Provider Business Mailing Address Details
- Address
- 578 Main St Unit B5
Malden, MA 02148-4094 - City
- Malden
- State
- MA
- Zip
- 02148-4094
- Phone Number
- 857-200-8997
License Information
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Back Bay MD LLC?
The NPI number of Back Bay MD LLC is 1972460244. It was assigned on January 7, 2026 and is currently active in the NPPES registry.
What is the specialty of Back Bay MD LLC?
Back Bay MD LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Back Bay MD LLC practice?
The practice location is 578 Main St Unit B5, Malden, MA 02148-4094. The office can be reached at 857-200-8997 (phone).
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 1972460244 directly on the NPPES registry website.