Revere Winthrop Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

REVERE WINTHROP PEDIATRICS

Practice address

280 Beach Street
Revere, MA 02151

Phone

(781) 289-5057

Fax

(781) 289-4485

NPI assigned

Nov 17, 2006

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ailish M Hayes, MD

Title

MD President

Phone

(781) 289-5057

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Janet T. Chua, M.D.

  • Pediatrics Physician
  • Revere, MA
  • NPI 1750388419
  NPD (past)
• Leonard I Firer, M.D.

  • Pediatrics Physician
  • Revere, MA
  • NPI 1538249263
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1083788756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BEACH STREET",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "781-289-5057",
            "fax_number": "781-289-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BEACH STREET",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "781-289-5057",
            "fax_number": "781-289-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERE WINTHROP PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "AILISH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "781-289-5057",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revere Homecare Services
• Revere Pediatric Dentistry
• Revere Physical Therapy
• Revere Rehab, Inc.
• Revere Rehabilitation Center
• Jessica Rothwell Richard, M.S., P.T.
• Ride Right Transportation, Inc
• Michelle Rifi, BCBA
• Rose Rizzo, LICSW
• Kerri Ann Roach

• Pediatrics Physician in Revere, MA
• Providers in Revere, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.