Provider Demographics
NPI:1053011460
Name:NEIGHBORHOOD CARE MEDICAL SERVICES PLLC
Entity type:Organization
Organization Name:NEIGHBORHOOD CARE MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KPLORFIA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:781-227-4186
Mailing Address - Street 1:9 COACH LN
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-6637
Mailing Address - Country:US
Mailing Address - Phone:617-840-7099
Mailing Address - Fax:
Practice Address - Street 1:30 EASTBROOK RD STE 302
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2084
Practice Address - Country:US
Practice Address - Phone:781-227-4186
Practice Address - Fax:855-583-3702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain