NPIMap

Organization Active NPI

Newton Wellesley Cardiologists, P.C.

  • Cardiovascular Disease Physician
  • Newton, MA
National Provider Identifier
1104951474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NEWTON WELLESLEY CARDIOLOGISTS, P.C.
Practice address
2000 Washington St
Newton, MA 02462-1650
Phone
(617) 527-1335
Fax
(617) 244-9841
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Stacey Frates
Title
Administrator
Phone
(508) 675-4683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2000 Washington St
Newton, MA 02462-1650

Mailing address

6 Lakeville Business Park
Lakeville, MA 02347-1234
Phone (508) 675-4683

Other identifiers 2

IdentifierTypeStateIssuer
9766049MedicaidMA
M15390OtherMABCBS OF MA

National Provider Directory

National Provider Directory

Locations

28 Washington St
Wellesley, MA 02481
Phone (617) 527-1335

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104951474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LAKEVILLE BUSINESS PARK",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471234",
            "telephone_number": "508-675-4683",
            "fax_number": "508-675-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-527-1335",
            "fax_number": "617-244-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON WELLESLEY CARDIOLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRATES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-675-4683"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9766049",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "M15390",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, 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.