Organization Active NPI

MPD Medical Associates Ma PC

  • Obstetrics & Gynecology Physician
  • Lexington, MA
National Provider Identifier
1033249685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MPD MEDICAL ASSOCIATES MA PC
Practice address
One Forbes Road
Lexington, MA 02421-7305
Phone
(781) 674-1200
Fax
(781) 674-1510
NPI assigned
Mar 6, 2007
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
Mr. Gary W Garberg
Title
Executive Director
Phone
(781) 674-1215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

One Forbes Road
Lexington, MA 02421-7305

Mailing address

One Forbes Road
Lexington, MA 02421-7305
Phone (781) 674-1200

Other names 1

  • Reproductive Science Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MPD Medical Associates Ma PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Forbes Rd
Lexington, MA 02421
Phone (781) 674-1200

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033249685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE FORBES ROAD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217305",
            "telephone_number": "781-674-1200",
            "fax_number": "781-674-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE FORBES ROAD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217305",
            "telephone_number": "781-674-1200",
            "fax_number": "781-674-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPD MEDICAL ASSOCIATES MA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARBERG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-674-1215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reproductive Science Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.