Preventive Medicine Associates
NPI 1629302112 · Addiction Medicine (Family Medicine) Physician · West Roxbury, MA
Preventive Medicine Associates is a Addiction Medicine (Family Medicine) Physician organization in West Roxbury, MA (NPI 1629302112).
Provider details
- NPI number
- 1629302112
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Preventive Medicine Associates
- Organization subpart
- Yes
- Authorized official
- Mary Delong, Credentialing Manager(413) 222-7711
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- West Roxbury Wellness Pavillion
Registry dates
- Enumerated
- 2009-09-30
- Last updated
- 2009-09-30
Frequently asked questions
- What is Preventive Medicine Associates's NPI number?
- Preventive Medicine Associates's National Provider Identifier (NPI) is 1629302112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Preventive Medicine Associates?
- Preventive Medicine Associates is classified in the NPPES registry as Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Preventive Medicine Associates located?
- Preventive Medicine Associates's practice location on file with NPPES is 1208b Vfw Pkwy, West Roxbury, MA 02132-4349.
- What is Preventive Medicine Associates's phone number?
- The practice phone number listed in the NPPES registry for Preventive Medicine Associates is (617) 477-8294.
- Who is the authorized official for Preventive Medicine Associates?
- The authorized official listed on Preventive Medicine Associates's NPPES record is Mary Delong, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Preventive Medicine Associates's NPI active?
- Yes — Preventive Medicine Associates's NPI (1629302112) is active in the NPPES registry as of the last update on 2009-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.