Healthcare Provider Details

I. General information

NPI: 1669257812
Provider Name (Legal Business Name): ALLARACARE MEDICAL GROUP - NEWBURYPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CUMMINGS CTR STE 207T
BEVERLY MA
01915-6121
US

IV. Provider business mailing address

900 CUMMINGS CTR STE 207T
BEVERLY MA
01915-6121
US

V. Phone/Fax

Practice location:
  • Phone: 978-949-8686
  • Fax: 978-921-1098
Mailing address:
  • Phone: 978-949-8686
  • Fax: 978-921-1098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA COTE
Title or Position: MANAGER, PRACTICE OPERATIONS
Credential:
Phone: 978-949-8686