Cape Ann Pediatricians
Organization Active NPI Pediatrics Physician · Gloucester, MA
NPI 1013032267 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013032267
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- CAPE ANN PEDIATRICIANS
- Practice address
- 298 Washington St
Babson Professional Building
Gloucester, MA 01930-4832 - Phone
- (978) 283-5079
- Fax
- (978) 282-1371
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Christine M Allen
- Title
- Office Manager
- Phone
- (978) 283-5079
Practitioners 4
-
Emily Nichols, PNP
-
Tanya Parker, CPNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0073060 | Cape Ann Pediatricians | Certificate of waiver | Jul 25, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210211001791 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6002221678 | Practice locations: Gloucester, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
298 Washington St
Babson Professional Building
Gloucester, MA 01930-4832
Mailing address
298 Washington St
Babson Professional Building
Gloucester, MA 01930-4832
Phone (978) 283-5079
Other providers in Gloucester, MA
- Cape Ann Eye Specialists, P.C.
- Cape Ann Medical Center
- Cape Ann Medical Center Inc
- Cape Ann Medical Center LLC
- Cape Ann Optometry LLC
- William Richard Caperci
- Mary Capobianco-Korpi
- Victor Carabba
- Samantha Carapellucci
- Thomas V Carbone
All providers in Gloucester, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.