| Pai Participant Ma PC | |
|
111 Orient Ave East Boston MA 02128-1006 | |
| (617) 596-2100 | |
| Not Available |
| Full Name | Pai Participant Ma PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Orient Ave, East Boston, Massachusetts |
| Authorized Official Name and Position | Brittain Brantley (ACTING PRESIDENT) |
| Authorized Official Contact | 3023005138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Participant Ma PC Po Box Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant Ma PC 111 Orient Ave East Boston MA 02128-1006 Ph: (617) 596-2100 |
| NPI Number | 1932984317 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/13/2026 |
| Certification Date | 08/13/2026 |
| Medicare PECOS PAC ID | 9537513684 |
|---|---|
| Medicare Enrollment ID | O20230925000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932984317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Michael Walger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225142110 PECOS PAC ID: 5294794285 Enrollment ID: I20041006000118 |
| Provider Name | Mark J Samuelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679502405 PECOS PAC ID: 6901866607 Enrollment ID: I20041018000261 |
| Provider Name | John C Pedrotty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457344863 PECOS PAC ID: 4385600998 Enrollment ID: I20041206000729 |
| Provider Name | Mark S Ostrem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811985633 PECOS PAC ID: 6305803958 Enrollment ID: I20041215000212 |
| Provider Name | Deborah a O'keefe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538159579 PECOS PAC ID: 0244297802 Enrollment ID: I20041215000284 |
| Provider Name | Ossama Labib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225033673 PECOS PAC ID: 6406800747 Enrollment ID: I20050309000511 |
| Provider Name | Hany a Mistikawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851399034 PECOS PAC ID: 6204880586 Enrollment ID: I20050309000689 |
| Provider Name | Susan P O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053488213 PECOS PAC ID: 3971517160 Enrollment ID: I20060126000537 |
| Provider Name | John M Stevenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043284789 PECOS PAC ID: 5991787210 Enrollment ID: I20060126000558 |
| Provider Name | Tamim B Hinedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447255880 PECOS PAC ID: 8325054141 Enrollment ID: I20060302000237 |
| Provider Name | Christopher Joncas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336136456 PECOS PAC ID: 2365459013 Enrollment ID: I20060321000497 |
| Provider Name | Benjamin Cabral |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194756650 PECOS PAC ID: 9133122799 Enrollment ID: I20060821000407 |
| Provider Name | Betty C Cheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184805707 PECOS PAC ID: 8022108778 Enrollment ID: I20071218000290 |
| Provider Name | Ehab Sorial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083608442 PECOS PAC ID: 9830268499 Enrollment ID: I20080522000030 |
| Provider Name | Michael a Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376523621 PECOS PAC ID: 3375610124 Enrollment ID: I20080922000237 |
| Provider Name | Jane S Camara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104079201 PECOS PAC ID: 6901966886 Enrollment ID: I20081121000514 |
| Provider Name | Susana P Viera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073763082 PECOS PAC ID: 5698838175 Enrollment ID: I20090109000100 |
| Provider Name | Shaohua Deng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174760326 PECOS PAC ID: 5294899738 Enrollment ID: I20090129000067 |
| Provider Name | David Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124219506 PECOS PAC ID: 2769533793 Enrollment ID: I20090702000024 |
| Provider Name | Richard M Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235432501 PECOS PAC ID: 6709067705 Enrollment ID: I20110224000124 |
| Provider Name | Vishal Kuchaculla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386837342 PECOS PAC ID: 5799832853 Enrollment ID: I20110325000565 |
| Provider Name | Willy Moy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558615906 PECOS PAC ID: 1153574827 Enrollment ID: I20130104000444 |
| Provider Name | Stephanie I Cody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205098522 PECOS PAC ID: 6204986151 Enrollment ID: I20130311000311 |
| Provider Name | Jenny M Fonseca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447682208 PECOS PAC ID: 4082840152 Enrollment ID: I20131119001388 |
| Provider Name | Yu Jin Nah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205076171 PECOS PAC ID: 5193912947 Enrollment ID: I20140923000473 |
| Provider Name | Judith Bellevue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972908143 PECOS PAC ID: 5092030858 Enrollment ID: I20150219000887 |
| Provider Name | Nancy Bouffard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316318991 PECOS PAC ID: 2769785443 Enrollment ID: I20160129002176 |
| Provider Name | Siobhan Durkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790189546 PECOS PAC ID: 9133424575 Enrollment ID: I20160224000057 |
| Provider Name | Katie J Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790151967 PECOS PAC ID: 2668769159 Enrollment ID: I20160927002405 |
| Provider Name | Christine M Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982154290 PECOS PAC ID: 5890074355 Enrollment ID: I20161128001824 |
| Provider Name | Melissa R Willette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922550557 PECOS PAC ID: 6406137207 Enrollment ID: I20170110003377 |
| Provider Name | Joseph Nakda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891081725 PECOS PAC ID: 1658529763 Enrollment ID: I20170317001092 |
| Provider Name | Antonio Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548499270 PECOS PAC ID: 3971732827 Enrollment ID: I20170916000381 |
| Provider Name | Jaleh Rasoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740792530 PECOS PAC ID: 9335401967 Enrollment ID: I20180320001614 |
| Provider Name | Luybang Trinh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932601887 PECOS PAC ID: 3274897871 Enrollment ID: I20180508000488 |
| Provider Name | Hanna T Succar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275928731 PECOS PAC ID: 6507110103 Enrollment ID: I20181119000589 |
| Provider Name | Carla Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720446362 PECOS PAC ID: 0547508533 Enrollment ID: I20190218001517 |
| Provider Name | Elmira Basaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841511441 PECOS PAC ID: 3870734320 Enrollment ID: I20201204002334 |
| Provider Name | Robert Tavares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871199638 PECOS PAC ID: 4284047382 Enrollment ID: I20210111000837 |
| Provider Name | Paola Sheila Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104423482 PECOS PAC ID: 1850700865 Enrollment ID: I20210504001033 |
| Provider Name | Alexandra K Weinstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679249957 PECOS PAC ID: 1759788276 Enrollment ID: I20210927002284 |
| Provider Name | Sarah Mcdevitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538833751 PECOS PAC ID: 1153719059 Enrollment ID: I20211026002463 |
| Provider Name | Yingqi Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013673151 PECOS PAC ID: 5092105197 Enrollment ID: I20211203001876 |
| Provider Name | Imane Ouahidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548999600 PECOS PAC ID: 0042687477 Enrollment ID: I20221027002478 |
| Provider Name | Christine Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184295917 PECOS PAC ID: 1951773514 Enrollment ID: I20230207002799 |
| Provider Name | Mckayla Ferreira Alencar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629738992 PECOS PAC ID: 3476927112 Enrollment ID: I20230321002004 |
| Provider Name | Alison Gerlach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275229346 PECOS PAC ID: 7315305638 Enrollment ID: I20230620000140 |
| Provider Name | Farrah Fleurima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588356067 PECOS PAC ID: 7618322728 Enrollment ID: I20231010001994 |
| Provider Name | Courtney Marquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194387555 PECOS PAC ID: 0446588297 Enrollment ID: I20231018002968 |
| Provider Name | Irena Urszula Lisek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053905166 PECOS PAC ID: 1951751254 Enrollment ID: I20231228003455 |
| Provider Name | Alicia Skinner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437150638 PECOS PAC ID: 3577581966 Enrollment ID: I20240308000415 |
| Provider Name | Babak Deyhimpanah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518298918 PECOS PAC ID: 8628247202 Enrollment ID: I20240702004002 |
| Provider Name | Christine Auclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528777588 PECOS PAC ID: 1658816798 Enrollment ID: I20240712001183 |
| Provider Name | Meliha Avdic-bajramovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366116907 PECOS PAC ID: 5890230809 Enrollment ID: I20240715002614 |
| Provider Name | Elias Schoen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417577578 PECOS PAC ID: 6901307685 Enrollment ID: I20250903001739 |
Medical Associates of Ebnhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 |
Neighborhealth Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 |
Excel Physical Therapy, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Neptune Rd Suite 171, East Boston, MA 02128 Phone: 617-895-7684 |
Internal Medical Associates-ebnhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 |
North Suffolk Community Services Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-569-3189 Fax: 617-569-7890 |
Central Square Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Central Sq, East Boston, MA 02128 Phone: 617-202-9036 |