Organization Active NPI

Milton Pediatric Associates LLC

  • Pediatrics Physician
  • Braintree, MA
National Provider Identifier
1013986694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MILTON PEDIATRIC ASSOCIATES LLC
Practice address
340 Wood Road
Suite 301
Braintree, MA 02184
Phone
(781) 356-6200
Fax
(781) 356-6299
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca Niloff, MDNPI 1891785572
Title
Cmo
Phone
(781) 356-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

340 Wood Road
Suite 301
Braintree, MA 02184

Mailing address

340 Wood Road
Suite 301
Braintree, MA 02184
Phone (781) 356-6200

Other identifiers 3

IdentifierTypeStateIssuer
056054OtherMATUFTS
9738444MedicaidMA
M18902OtherMABLUE SHIELD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0858180Milton Pediatric Associates, LLC340 Wood Rd, Braintree, MA 02184ComplianceJun 20, 2028

National Provider Directory

National Provider Directory

Locations

10 Hawthorne Pl
Boston, MA 02114
Phone (617) 726-2256

340 Wood Rd
Ste 301
Braintree, MA 02184
Phone (781) 356-6200

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013986694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WOOD ROAD",
            "address_2": "SUITE 301",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "781-356-6200",
            "fax_number": "781-356-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WOOD ROAD",
            "address_2": "SUITE 301",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "781-356-6200",
            "fax_number": "781-356-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON PEDIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NILOFF",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "781-356-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "056054",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9738444",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M18902",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.