Brewer Nystuen Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BREWER NYSTUEN PEDIATRICS

Practice address

548 Lebanon St
Melrose, MA 02176-3226

Phone

(781) 665-4364

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By 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

Miss Karen Anne Yarasits, OFFICE MANAGER

Title

Office Manager

Phone

(781) 665-4364

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Brewer Nystuen Pediatric Associates2 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.

• Fellsway Pediatrics, PC

  • Pediatrics Physician
  • Melrose, MA
  • NPI 1336488774
  NPD tax ID

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104034065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 LEBANON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763226",
            "telephone_number": "781-665-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 LEBANON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763226",
            "telephone_number": "781-665-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER NYSTUEN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YARASITS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-665-4364",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Pelvic Physical Therapy
• Shannon Bottari, MD
• Jillian M Boyle, LMHC
• Bridget Riley Braverman, RN
• Sara Breglio
• Matthew Philip Brewer, MD
• Debra A Broadley, MA, LMHC
• Erica L Brooks, M.D.
• Elise Bradford Brown, O.T.R/L
• Randi A Brown, LMHC, M.ED.

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

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.