NPIMap

Organization Active NPI

Rekha Quazi, M.D. PC

  • Pediatrics Physician
  • Chelmsford, MA
National Provider Identifier
1063658870
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
56300 Issued in MA
Legal business name
REKHA QUAZI, M.D. PC
Practice address
1 Courthouse LN
Unit 1
Chelmsford, MA 01824-1738
Phone
(978) 453-1118
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Ann Phothisane
Title
Office Manager
Phone
(978) 934-9474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 56300 MA Primary

Addresses

Primary practice location

1 Courthouse LN
Unit 1
Chelmsford, MA 01824-1738

Mailing address

1 Courthouse LN
Unit 1
Chelmsford, MA 01824-1738
Phone (978) 453-1118

Other identifiers 1

IdentifierTypeStateIssuer
3115615MedicaidMA

National Provider Directory

National Provider Directory

Locations

1 Courthouse Ln
Ste 1
Chelmsford, MA 01824
Phone (978) 453-1118

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1063658870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COURTHOUSE LN",
            "address_2": "UNIT 1",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241738",
            "telephone_number": "978-453-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COURTHOUSE LN",
            "address_2": "UNIT 1",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241738",
            "telephone_number": "978-453-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKHA QUAZI, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "PHOTHISANE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-934-9474"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "56300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115615",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.