Organization Active NPI

Yogman Pediatric Associates PC

  • Pediatrics Physician
  • Cambridge, MA
National Provider Identifier
1033122965
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
37094 Issued in MA
Legal business name
YOGMAN PEDIATRIC ASSOCIATES PC
Practice address
575 Mt Auburn St
Suite 202
Cambridge, MA 02138
Phone
(617) 864-7071
Fax
(617) 661-4682
NPI assigned
Aug 14, 2006
Last updated
Jul 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Authorized official

Name
Dr. Michael W Yogman, MDNPI 1801890835
Title
President
Phone
(617) 864-7071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37094 MA Primary

Addresses

Primary practice location

575 Mt Auburn St
Suite 202
Cambridge, MA 02138

Mailing address

575 Mt Auburn St
Suite 202
Cambridge, MA 02138
Phone (617) 864-7071

Other identifiers 1

IdentifierTypeStateIssuer
9731440MedicaidMA

National Provider Directory

National Provider Directory

Locations

575 Mount Auburn St
Ste 202
Cambridge, MA 02138
Phone (617) 864-1407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184457600000",
    "number": "1033122965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MT AUBURN ST",
            "address_2": "SUITE 202",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02138",
            "telephone_number": "617-864-7071",
            "fax_number": "617-661-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MT AUBURN ST",
            "address_2": "SUITE 202",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02138",
            "telephone_number": "617-864-7071",
            "fax_number": "617-661-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOGMAN PEDIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-15",
        "status": "A",
        "authorized_official_last_name": "YOGMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-864-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "37094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9731440",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.