Organization Active NPI

Framingham Cardiology Diagnostics

  • Cardiovascular Disease Physician
  • Framingham, MA
National Provider Identifier
1073725990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
NOT APPLICABLE Issued in MA
Legal business name
FRAMINGHAM CARDIOLOGY DIAGNOSTICS
Practice address
115 Lincoln Street
Metrowest Medical Center
Framingham, MA 01702
Phone
(508) 879-6026
Fax
(508) 879-8958
NPI assigned
May 4, 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
Peter Melencio, CPA
Title
Billing Agent
Phone
(508) 620-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X NOT APPLICABLE MA Primary

Addresses

Primary practice location

115 Lincoln Street
Metrowest Medical Center
Framingham, MA 01702

Mailing address

680 Worcester Road
Framingham, MA 01702-5259
Phone (508) 620-2800

Other identifiers 1

IdentifierTypeStateIssuer
9766146MedicaidMA

National Provider Directory

National Provider Directory

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073725990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 WORCESTER ROAD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025259",
            "telephone_number": "508-620-2800",
            "fax_number": "508-620-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LINCOLN STREET",
            "address_2": "METROWEST MEDICAL CENTER",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-879-6026",
            "fax_number": "508-879-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAMINGHAM CARDIOLOGY DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELENCIO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "508-620-2800",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9766146",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, 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.