| NPI | 1124136510 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-27 |
| Last Updated | 2016-09-19 |
| Authorized Official | John Petrarca Executive Director Phone: 7816381020 |
| Mailing Address | 7 Alfred St, Baldwin Park Ii Woburn, MA 01801-1976 United States Phone: (781) 933-6236 | Fax: (781) 938-8050 📍 View Map |
| Primary Practice Address | 7 Alfred St, Baldwin Park Ii Woburn, MA 01801-1976 United States Phone: (781) 933-6236 | Fax: (781) 938-8050 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | MA | 25114 | Fallon |
| Other (non-Medicare) | MA | 600388 | Tufts Health Plan |
| Other (non-Medicare) | MA | 805422 | Tufts Health Plan - Lab |
| Other (non-Medicare) | MA | 9110 | Aetna/US healthcare |
| MEDICAID | MA | 9712623 | — |
| Other (non-Medicare) | MA | ========= | Harvard Community Health |
| Other (non-Medicare) | MA | M12470 | Blue Cross Blue Shield |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | — | — |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1124136510
Woburn Pediatric Associates is an organization registered in the CMS NPPES NPI Registry with NPI number 1124136510. The primary specialty listed is Pediatrics. The organization is located in Woburn, MA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124136510?
NPI 1124136510 belongs to Woburn Pediatric Associates, a Pediatrics in Woburn, MA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124136510 active?
The current status of NPI 1124136510 in the NPPES registry is Active. The record was last updated on 2016-09-19.
What specialty is NPI 1124136510?
NPI 1124136510 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124136510?
You can verify NPI 1124136510 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124136510?
The primary practice address on file for NPI 1124136510 is 7 Alfred St, Woburn, MA 01801-1976. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124136510 issued?
NPI 1124136510 was first issued (enumerated) on 2006-08-27. The NPPES record was last updated on 2016-09-19.
Practice Location Map
Woburn Pediatric Associates is located at 7 Alfred St, Woburn, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Woburn Pediatric Associates. All records sourced from the CMS NPPES registry.