NPIMap

Organization Active NPI

Winchester Physician Associates

Doing business as Alewife Brook Community Pediatircs

  • Pediatrics Physician
  • Arlington, MA
National Provider Identifier
1093797706
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
55709 Issued in MA
Legal business name
WINCHESTER PHYSICIAN ASSOCIATES
Doing business as
Alewife Brook Community Pediatircs
Practice address
29 Massachusetts Ave
Arlington, MA 02474-8602
Phone
(781) 643-4507
Fax
(781) 646-6151
NPI assigned
Nov 17, 2005
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Eileen Wills
Title
Billing Manager
Phone
(781) 756-7273

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 71232 MA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 70683 MA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 55709 MA Primary

Addresses

Primary practice location

29 Massachusetts Ave
Arlington, MA 02474-8602

Mailing address

PO Box 760
Winchester, MA 01890-4260
Phone (781) 756-7273

Other identifiers 1

IdentifierTypeStateIssuer
9777229MedicaidMA

Other names 1

  • Alewife Brook Community Pediatircs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Winchester Physicians31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Locations

29 Massachusetts Ave
Arlington, MA 02474
Phone (617) 484-9029

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1093797706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904260",
            "telephone_number": "781-756-7273",
            "fax_number": "781-756-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748602",
            "telephone_number": "781-643-4507",
            "fax_number": "781-646-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER PHYSICIAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "781-756-7273"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "71232",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "70683",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "55709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9777229",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alewife Brook Community Pediatircs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.